Docquier Ch, Majois F, Mitine C
Department of Internal Medicine, Jolimont Hospital, Belgium.
Clin Rheumatol. 2002 Feb;21(1):63-5. doi: 10.1007/s100670200015.
A 74-year-old woman was referred because of rheumatic symptoms consisting of pain, swelling of the hands, contracture and flexion of the fingers and severe palmar erythrosis. One year earlier she had undergone a total abdominal hysterectomy (TAH) for uterine adenocarcinoma. A paraneoplastic syndrome with palmar fasciitis and arthritis was then suspected and an evolutive peritoneal carcinomatosis was confirmed by abdominal CT scan. The patient was first treated with hormonal therapy (progestagen) and then with chemotherapy. This, associated with calcitonin, corticosteroids and physiotherapy, allowed a temporary recovery, but the patient died 10 months later from progressive peritoneal carcinomatosis.
一名74岁女性因出现风湿性症状前来就诊，症状包括疼痛、手部肿胀、手指挛缩和屈曲以及严重的掌部红斑。一年前，她因子宫腺癌接受了全腹子宫切除术（TAH）。当时怀疑是伴有掌筋膜炎和关节炎的副肿瘤综合征，腹部CT扫描证实存在进展性腹膜癌转移。患者首先接受了激素治疗（孕激素），随后接受了化疗。这与降钙素、皮质类固醇和物理治疗相结合，使病情得到了暂时缓解，但患者10个月后因进展性腹膜癌转移死亡。
