경수에 발생한 원발성 흑색종 : 증례보고 Case Report = Primary Spinal Malignant Melanoma in the Cervical Spinal Cord

다국어 초록 (Multilingual Abstract)

The primary melanoma of spinal cord was rarely reported in the literatures. The authors report a case of primary spinal maligmant melanoma in the cervical spinal cord. A 41-year-old man presented several months history of right shoulder pain and right hemiparesis. Plain X-ray of the cervical spine. myelography. computerized tomography and magnetic resonance imaging showed intradural mass from third to fifth cervical spine level. The operation was perfomred. and intradural intra- and extramedullary brownish black tumor, which focally infiltrated to the dura and inner surface of lamina, was removed and the histological diagnosis was maligmant melanoma. And then chemotherapy with vincristine, bleomycin, cisplatine, followed by whole central nervous system radiation therapy was performed. The patient was discharged and followed up with no neurological interval change. The pertinent literature of spinal cord melanoma is reviwed and its rareness is discussed.