Eross E J, Dodick D W, Swanson J W, Capobianco D J
Department of Neurology, Mayo Clinic Rochester, USA.
Cephalalgia. 2003 Feb;23(1):2-5. doi: 10.1046/j.1468-2982.2003.00478.x.
We describe a 63-year-old smoker who suffered from intractable facial pain secondary to an underlying lung neoplasm. Data from 30 previously reported and similar cases are also summarized. The clinical triad of a smoker suffering from periauricular pain and an elevated ESR should alert the clinician to the possibility of an occult lung mass. In these cases a computed tomography of the chest should always be obtained. Previously refractory pain typically responds to surgical resection of the mass and/or radiation therapy.
我们描述了一名63岁的吸烟者，其因潜在的肺部肿瘤而患有顽固性面部疼痛。还总结了30例先前报道的类似病例的数据。吸烟者出现耳周疼痛和血沉升高的临床三联征应提醒临床医生注意隐匿性肺部肿块的可能性。在这些病例中，应始终进行胸部计算机断层扫描。先前难治性疼痛通常对肿块的手术切除和/或放射治疗有反应。
