2012 Volume 105 Issue 6 Pages 581-585
We experienced 2 cases with spinal metastasis from thyroid carcinoma who underwent spinal decompression. The 2 cases included a 57-year old male who had complete paralysis of the lower extremities caused by metastasis from a thyroid anaplastic carcinoma. In this case curative therapy for the thyroid carcinoma gave transient post operative improvement after the decompression. The other case was a 56-year old male with papillary carcinoma who underwent curative surgery. Complete paralysis of the lower extremities due to the spinal metastasis from thyroid carcinoma was suddenly observed. Immediate decompressin of the spine and irradiation were performed, and he could walk by himself.
Though the indication of spinal decompression for paralysis due to metastatic carcinoma should be decided according to the Prognosis evaluation system, we should consider spinal decompression to improve ADL aggressively.
