Abstract
A 59-year-old woman was admitted to the hospital because of paralysis of the lower extremities and dysurea. There was a previous history of radical operation for a right breast cancer 13 years before. Recently transversal lesion of the upper thoracic spinal cord progressed rapidly and she could not walk at all. Osteolytic change was observed on the first thoracic verteble, and osteoplastic change, on the 2nd and 3rd ones. However, there were nither deformity nor crushing of cerbetrae. The laminectomy and removal of pedunculated extradural tumor from the first thoracic verbebla were done to release the commpression to the spinal cord. A metastasis from the breast cancer was revealed by a histological examination. The transversal lesion of the spinal cord recovered completely by combined therapy with irradiation, cytotoxic drug and endocrine agent. The tumor regression also evidenced by normalized serum tumor makers. Thus the usefulness of tumor marker monitoring was confirmed.
