Osteolytic Alteration, Cervical Myelopathy and Dysphonia Associated with Mucoepidermoid Carcinoma: A Case Report

Abstract

Summary: A vertebral neoplasm of extraosseous origin, is that which affects the vertebra starting from a tissue that has metastized. Clinical diagnosis and imaging only provide an etiopatological approach due to various sources of metastasis, so early obtaining of material for sample analysis and timely treatment becomes important. Objective: This study presents a 62-year-old male patient who manifested dysphonia, respiratory distress, cervical compressive myelopathy syndrome; being as a whole this picture with characteristics of increasing intensity and persistent imaging compatible with osteolysis of the spinous process of the fourth cervical vertebra. Methods: lateral radiographs of preoperative cervical spine and cervical magnetic resonance without contrast in sequences T1 and T2 as well as cervical magnetic resonance without contrast axial cut sequence T2 were evaluated. A week after the diagnosis by image is taken to the operative table where resection of tumor mass associated with cervical paravertebral muscles, C4 laminectomy and exceresis of an extension of the tumor to the spinal canal (extradural) is performed and the anatomopathological study was performed. Results: The patient presented improvement due to recovery of the respiratory bellows in the immediate post-operative period, although dysphonic persisted. The biopsy result reported mucoepidermoid carcinoma. We are interested in highlighting in this case the particular evolutionary association between the respiratory-laryngeal process, cervical osteolytic process and myelopathic manifestations as a regional development of the mucoepidermoid adenocarcinoma tous neoplastic activity.