Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1998-7-13
pubmed:abstractText
A 79-year-old male patient presented with a subacute cauda syndrome caused by an intradural metastasis of the lumbosacral caudate fibres from an adenocarcinoma of the prostate, which had been treated 5 years earlier with external beam radiation therapy. Diagnosis could not be established by repeated magnetic resonance images (MRIs) during a 2-year period of increasingly severe radicular pain. Eventually, a small tumour mass could be visualized on the fourth MRI. Repeated normal serum prostate-specific antigen (PSA) did not hint at a prostate cancer metastasis (range 2.4-5.1 ng ml(-1)); however, PSA in the cerebrospinal fluid was found to be elevated (29.1 ng ml(-1)). Empirical radiation therapy of the caudate region did not improve radicular pain. Therefore, an exploratory surgical procedure was conducted, which confirmed the suspicion of an intradural prostate cancer metastasis. In conclusion, PSA in the cerebrospinal fluid provides a useful diagnostic tool for detecting intradural prostate cancer metastasis.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-13209524, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-1376193, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-2505542, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-3258107, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-3559664, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-4405841, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-5948714, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-7567696, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-8085440, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-8179494, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-8755750, http://linkedlifedata.com/resource/pubmed/commentcorrection/9649164-8800434
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0007-0920
pubmed:author
pubmed:issnType
Print
pubmed:volume
77
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2386-9
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1998
pubmed:articleTitle
Prostate-specific antigen in the cerebrospinal fluid leads to diagnosis of solitary cauda equina metastasis: a unique case report and review of the literature.
pubmed:affiliation
Department of Neurological Surgery, University Hospitals, Basle, Switzerland.
pubmed:publicationType
Journal Article, Review, Case Reports