复杂的区域性疼痛综合征类似的模式在一个Pancoast瘤的情况下
Komal Bishnoi1, Girish Kumar Parida1, P Sai Sradha Patro1
1Department of Nuclear Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
概括
潘科斯特瘤可以引起复杂的区域性疼痛综合征类症状. 骨扫描显示受影响四肢的广泛吸收,强调需要考虑这种表现的非创伤性原因.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 泛海岸瘤是一种肺癌,可能会出现不寻常的症状.
- 复杂区域性疼痛综合征 (CRPS) 的特征是严重的疼痛,胀和皮肤温度和颜色的变化.
研究的目的:
- 报告一个Pancoast瘤病例,症状模仿复杂区域性疼痛综合征.
- 在恶性瘤的背景下突出非创伤性四肢疼痛的诊断考虑因素.
主要方法:
- 一名52岁的男性患有新诊断的Pancoast瘤,肩膀和胸部疼痛,软弱和握力不佳.
- 进行了99m-Tc骨扫描以检查转移.
主要成果:
- 骨扫描显示受影响的上肢的所有关节和长骨的吸收增加.
- 患者的症状归因于Pancoast瘤,而不是创伤性伤害.
结论:
- 泛海岸瘤应考虑在呈现症状暗示复杂区域性疼痛综合征的患者的差异诊断.
- 放射学发现,如骨扫描,可以提供关键信息,以确定癌症患者非创伤性四肢疼痛的潜在原因.
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