尿癌与骨转移模仿坐骨炎:一个常见的瘤与一个不常见的演示
Ravleen Kaur1, Lavleen Kaur1, Aimen Iqbal1
1Internal Medicine, The Wright Center for Graduate Medical Education, Scranton, USA.
Cureus
|April 1, 2024
概括
带有骨转移的尿路癌 (UC) 是罕见的,通常呈现为背痛. 对患者来说,早期怀疑癌症对于无法解释的肌肉骨疼痛患者来说至关重要,这些患者对治疗没有反应.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 在尿路癌 (UC) 中的骨转移很少被报告,缺乏广泛的研究.
- 肌肉骨疼痛,如腰部疼痛,可以是UC晚期的初始症状.
- 延迟UC骨转移的诊断可能会发生,如果初始症状被错误地归因于诸如 sciatica等良性疾病.
研究的目的:
- 报告一例带有骨转移,呈现为肌肉骨疼痛的尿癌病例.
- 强调在患有持续性,耐治疗性疼痛的患者中考虑瘤病理学的重要性.
- 突出UC骨转移的诊断挑战和管理考虑.
主要方法:
- 一个患有尿路细胞癌和疑似骨转移的患者的病例报告.
- 利用MRI脊柱和随后的成像来识别转移性病变和原发性瘤部位.
- 进行了干预性放射学活检,以对转移性癌症进行基因病理学确认,符合UC.
主要成果:
- 患者出现了腰部和腿部疼痛,最初怀疑是坐骨髓炎.
- 图像检测显示了脊椎转移性病变,尿液缩和膀基质量,表明UC.
- 活检证实了与UC一致的转移性癌瘤;患者的表现不佳阻止了全身治疗.
结论:
- 这一案例强调了在没有反应的肌肉骨疼痛患者中对瘤疾病的高怀疑指数的必要性.
- 早期识别和诊断UC骨转移对于适当的患者管理至关重要.
- 骨转移性UC的管理需要采用多学科方法和共同决策,在没有治疗选择的情况下专注于息治疗.
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