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Chinese-German J Clin Oncol September 2014, Vol. 13, No. 9, P444–P446 DOI? 10.1007/s10330-014-0031-2 Postoperative glioma extracranial metastasis: A case report Yonghao Song Radiotherapy Center, No. 113 Hospital of the People’s Liberation Army, Ningbo 315040, China Received: 10 July 2014 / Revised: 6 August 2014 / Accepted: 25 August 2014 ? Huazhong University of Science and Technology 2014 Abstract? A case with intracranial glioma after the surgery metastasizing to the spine was described. A 28-year-old female patient who underwent surgery and radiation therapy for glioma in the left frontal lobe and was diagnosed as having extracra- nial metastasis to L2–L4 vertebral body by MRI, PET-CT and pathological examination. The clinical, imaging and pathologic features of the case are described and discussed. Key words? brain; glioma; extracranial metastasis Gliomas are primary intracranial malignant tumors L5 intervertebral space; negative of the straight leg-rais- and surgical resection is the main treatment method. ing test on both sides, positive of bilateral femoral nerve Gliomas can appear local intracranial recurrence or in- stretch pull test; disappearance of bilateral Achilles ten- tracranial metastasis after surgery, but rarely metastasize don reflex; disappearance of bilateral knee tendon reflex; outside the brain. One patient in our hospital with glioma IV level of the feeling and muscle force of lower limbs; after the surgery metastasizing to the spine is reported as loss of bilateral parapodum thumb dorsal muscle force; follows. weakness of bilateral dorsalis pedis artery pulse; slightly low temperature of skin and hypesthesia of bilateral limbs Case report and feet. P