Transcatheter arterial embolization for relapsed spinal metastatic paraganglioma: A case report

Wataru Makino, MD; Joichi Heianna, MD; Masafumi Toguchi, MD; Taiki Teruya, MD; Sadayuki Murayama, MD

Radiology Case Reports (Aug 2019)

Transcatheter arterial embolization for relapsed spinal metastatic paraganglioma: A case report

Wataru Makino, MD,
Joichi Heianna, MD,
Masafumi Toguchi, MD,
Taiki Teruya, MD,
Sadayuki Murayama, MD

Affiliations

Wataru Makino, MD: Department of Radiology, Graduate School of Medical Science University of The Ryukyus, 207, uehara, Nishihara, Okinawa, 903-0215, Japan; Corresponding author.
Joichi Heianna, MD: Department of Radiology, Graduate School of Medical Science University of The Ryukyus, 207, uehara, Nishihara, Okinawa, 903-0215, Japan
Masafumi Toguchi, MD: Department of Radiology, Graduate School of Medical Science University of The Ryukyus, 207, uehara, Nishihara, Okinawa, 903-0215, Japan
Taiki Teruya, MD: Second department of Internal Medicine, Graduate School of Medical Science University of The Ryukyus, 207, uehara, Nishihara, Okinawa, 903-0215, Japan
Sadayuki Murayama, MD: Department of Radiology, Graduate School of Medical Science University of The Ryukyus, 207, uehara, Nishihara, Okinawa, 903-0215, Japan

Journal volume & issue: Vol. 14, no. 8
pp. 926 – 929

Abstract

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Spinal metastasis is a rare presentation of paraganglioma and an effective therapy for nonresectable spinal metastatic paraganglioma (MPG) has not yet been established. We report the case of a 42-year-old woman with metastatic spinal cord compression caused by a relapsed spinal MPG after decompressive surgery. We performed transcatheter arterial embolization (TAE) in addition to systemic chemotherapy. After TAE, the neurologic symptoms improved, and the back pain was reduced. After 3 sessions of TAE, MRI revealed that the tumor at the level of the seventh thoracic vertebra had shrunk and the pressure on spinal cord had decreased. TAE might be a feasible treatment option for spinal MPG, even after surgery or irradiation. Keywords: Metastatic paraganglioma, Transcatheter arterial embolization, Spinal metastasis, Spinal cord compression

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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