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Currently, there is no universal strategy for managing patients with intramedullary spinal metastases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case<\/jats:title><jats:p>To the best of our knowledge, we present a case of ovarian adenocarcinoma that was managed surgically in a 70\u2010year\u2010old woman with metastasis to the upper thoracic spinal cord, and we assess pertinent literature and deliberate management approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Progression in early diagnosis and advanced therapeutic methods for ISCMs have contributed to the increased incidence and prevalence of this condition. There is no established consensus regarding the definitive patient management methods. Consequently, we offer multidisciplinary management with individualization based on the patient's functional status, requirement for a definitive diagnosis for potential additional adjuvant therapies, and assessment of the extent of systemic disease, which can influence the desired quality of life and survival duration.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cnr2.70013","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T07:50:21Z","timestamp":1729065021000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Metastatic Upper Thoracic Intramedullary Spinal Cord Tumor of Ovarian Adenocarcinoma: A Rare Case Report and Literature Review"],"prefix":"10.1002","volume":"7","author":[{"given":"Vahid","family":"Heidari","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, School of Medicine, Firoozgar Hospital Iran University of Medical Sciences  Tehran 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