Antunes Nuno Lobo
Department of Neurology and Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
Pediatr Neurol. 2002 Jul;27(1):46-8. doi: 10.1016/s0887-8994(02)00389-2.
Neck and back pain are frequent complaints of patients with pediatric cancer, second only to headaches as a cause of neurologic consultation. The importance of this symptom, however, has not been studied in the pediatric cancer patients. This report is a review of the consultations as a result of neck and back pain in patients with pediatric cancer, with analysis of clinical presentation, etiology, underlying cancer, and neuroradiologic findings. The etiology of the complaint varied with the underlying cancer, although metastatic disease to the spine was frequent in patients with solid tumors, in younger children, and in patients admitted to the hospital. Back or neck pain is a serious complaint in children with systemic cancer, because the incidence of metastatic disease is high. Magnetic resonance imaging of the whole spine should be obtained if metastatic disease can not be excluded clinically, particularly for young patients and in children with advanced disease.
颈部和背部疼痛是儿科癌症患者常见的主诉，仅次于头痛，是进行神经科会诊的第二大原因。然而，这一症状在儿科癌症患者中的重要性尚未得到研究。本报告回顾了儿科癌症患者因颈部和背部疼痛进行的会诊情况，分析了临床表现、病因、潜在癌症及神经放射学检查结果。尽管实体瘤患者、年幼儿童及住院患者中脊柱转移瘤很常见，但疼痛主诉的病因因潜在癌症而异。对于患有全身性癌症的儿童，背部或颈部疼痛是一个严重的主诉，因为转移瘤的发生率很高。如果临床上不能排除转移瘤，尤其是年轻患者和晚期疾病患儿，应进行全脊柱磁共振成像检查。
