PMID- 18037349 OWN - NLM STAT- MEDLINE DCOM- 20081028 LR - 20220331 IS - 1529-9430 (Print) IS - 1529-9430 (Linking) VI - 8 IP - 5 DP - 2008 Sep-Oct TI - Metastasis of carcinoid to the arch of the axis in a multiple endocrine neoplasia patient: a case report. PG - 841-4 AB - BACKGROUND CONTEXT: Carcinoid tumors eventually metastasize to the spine, and epidural spinal cord compression is a relatively frequent neurologic complication of carcinoid. However, a case of multiple endocrine neoplasia type 1 (MEN1) presenting with spinal cord compression as a result of a metastatic carcinoid tumor has not been reported previously. PURPOSE: To report an extremely rare case of MEN1 presenting with spinal cord compression by metastatic carcinoid tumor. STUDY DESIGN: Case report. METHODS: A 51-year-old man, with a past history of thymoma, insulinoma, and gastric carcinoid presented with neck pain. Neuroradiological examination revealed that a tumor around the arch of the axis compressed the spinal cord with osteoblastic changes. RESULTS: After hemilaminectomy of the axis and removal of the tumor followed by irradiation, the patient returned to his previous job. Histological examination confirmed metastatic carcinoid tumor. CONCLUSIONS: Spinal metastasis of carcinoid tumor occurred in a multiple endocrine neoplasia patient, and it is significant to note that carcinoid metastasis is one of differential diagnoses for osteoblastic lesions. FAU - Tanabe, Michiharu AU - Tanabe M AD - Department of Neurosurgery, Gamma-Knife Center, Takashima Hospital, Yonago 6830826, Japan. mbbmichi@hotmail.com FAU - Akatsuka, Keiichi AU - Akatsuka K FAU - Umeda, Seiichi AU - Umeda S FAU - Shomori, Kohei AU - Shomori K FAU - Taniura, Seijiro AU - Taniura S FAU - Okamoto, Hisayo AU - Okamoto H FAU - Kamitani, Hideki AU - Kamitani H FAU - Watanabe, Takashi AU - Watanabe T LA - eng PT - Case Reports PT - Journal Article DEP - 20071126 PL - United States TA - Spine J JT - The spine journal : official journal of the North American Spine Society JID - 101130732 SB - IM MH - Adult MH - Axis, Cervical Vertebra/*pathology/surgery MH - Carcinoid Tumor/*secondary/surgery MH - Humans MH - Insulinoma/pathology MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*pathology/surgery MH - Spinal Neoplasms/*secondary/surgery MH - Stomach Neoplasms/*pathology MH - Thymoma/pathology EDAT- 2007/11/27 09:00 MHDA- 2008/10/29 09:00 CRDT- 2007/11/27 09:00 PHST- 2007/01/31 00:00 [received] PHST- 2007/04/19 00:00 [revised] PHST- 2007/06/26 00:00 [accepted] PHST- 2007/11/27 09:00 [pubmed] PHST- 2008/10/29 09:00 [medline] PHST- 2007/11/27 09:00 [entrez] AID - S1529-9430(07)00270-7 [pii] AID - 10.1016/j.spinee.2007.06.015 [doi] PST - ppublish SO - Spine J. 2008 Sep-Oct;8(5):841-4. doi: 10.1016/j.spinee.2007.06.015. Epub 2007 Nov 26.