Metastatic Upper Thoracic Intramedullary Spinal Cord Tumor of Ovarian Adenocarcinoma: A Rare Case Report and Literature Review

Abstract

ABSTRACT Background Intramedullary spinal cord metastasis (ISCM) is uncommon and usually occurs in advanced malignancies. Effective management methods are not clearly defined, and the outcomes of current treatments vary. Currently, there is no universal strategy for managing patients with intramedullary spinal metastases. Case To the best of our knowledge, we present a case of ovarian adenocarcinoma that was managed surgically in a 70‐year‐old woman with metastasis to the upper thoracic spinal cord, and we assess pertinent literature and deliberate management approaches. Conclusions Progression in early diagnosis and advanced therapeutic methods for ISCMs have contributed to the increased incidence and prevalence of this condition. There is no established consensus regarding the definitive patient management methods. Consequently, we offer multidisciplinary management with individualization based on the patient's functional status, requirement for a definitive diagnosis for potential additional adjuvant therapies, and assessment of the extent of systemic disease, which can influence the desired quality of life and survival duration.

Keywords

• case report
• intramedullary spinal cord metastasis
• neoadjuvant chemotherapy
• ovarian adenocarcinoma
• rare metastatic condition
• surgery