小细胞肺癌与外围神经病变作为第一个症状:两个病例报告
Man Luo1, Xiao-Xi Lu2, Dan-Yang Meng3
1Department of Neurology, Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China.
World journal of clinical cases
|March 27, 2025
概括
副发性外围神经病变 (PPN) 可能是小细胞肺癌 (SCLC) 的早期指标. 识别PPN症状,如四肢虚弱,对于及时的SCLC诊断和治疗至关重要.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
背景情况:
- 小细胞肺癌 (SCLC) 是高度恶性的,容易发生早期转移.
- 原性综合征在SCLC中很常见,原性外围神经病变 (PPN) 通常在瘤诊断之前.
- PPN表现为非特异性症状,增加了误诊作为主要神经系统疾病的风险.
研究的目的:
- 报告两例SCLC病例,其中四肢疲软是最初出现的症状.
- 突出PPN与SCLC早期检测之间的关联.
主要方法:
- 两名患有SCLC的患者的病例报告,表现为肢体虚弱.
- 对临床表现,诊断过程和治疗结果的审查.
- 分析了电肌图的发现.
主要成果:
- 两位患者均表现出PPN和异常电肌图.
- 一名患者的症状在SCLC治疗后得到改善,而另一名患者的症状进展为广泛的疾病.
- 在这两种情况下,PPN症状都出现在SCLC确诊之前.
结论:
- PPN和异常电肌图可以作为SCLC的关键早期指标.
- 早期识别PPN对于避免SCLC的诊断延迟至关重要.
关键词:
案例报告案例报告皮肤肌肉菌性炎 (dermatomyositis) 是一种疾病.电动肌图学 电动肌图学副新生体外围神经病变 (Paraneoplastic peripheral neuropathy) 是一种神经外围神经病变.周围神经病变是一种神经病变.小细胞肺癌是一种小细胞肺癌.更多相关视频
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