Botwin K P, Zak P J
Florida Spine Institute, Clearwater, FL 34625, USA.
Spine (Phila Pa 1976). 2000 Apr 1;25(7):884-7. doi: 10.1097/00007632-200004010-00019.
A retrospective case report.
To increase awareness of the fact that very serious and potentially devastating conditions can be associated with lumbosacral radiculopathy. To reinforce the need to have a definitive diagnosis before performing epidural injections in patients with radicular pain who are not responsive to conservative treatment.
To the authors' knowledge, this is the first reported case of uterine leiomyosarcoma presenting with a lumbosacral radiculopathy.
The authors describe the treatment and the radiologic, surgical, and pathologic findings in this patient.
Proper diagnostic work-up led to a diagnosis of metastatic uterine leiomyosarcoma, which was managed with decompressive laminectomy, radiotherapy, and chemotherapy.
This is the first reported case of a uterine leiomyosarcoma presenting with radicular pain. When a patient has not responded to conservative care, a definitive etiology for radiculopathy needs to be established before epidural steroid injection.
一项回顾性病例报告。
提高对以下事实的认识，即非常严重且可能具有毁灭性的病症可能与腰骶神经根病相关。加强对保守治疗无反应的神经根性疼痛患者在进行硬膜外注射前进行明确诊断的必要性。
据作者所知，这是首例报告的以腰骶神经根病为表现的子宫平滑肌肉瘤病例。
作者描述了该患者的治疗情况以及放射学、手术和病理学检查结果。
恰当的诊断性检查得出转移性子宫平滑肌肉瘤的诊断，对此采用了减压性椎板切除术、放疗和化疗进行治疗。
这是首例报告的以神经根性疼痛为表现的子宫平滑肌肉瘤病例。当患者对保守治疗无反应时，在进行硬膜外类固醇注射前需要确定神经根病的确切病因。
