Lishchyna Natalia, Henderson Shawn
Department of Graduate Studies, CMCC, Toronto, Ontario.
J Can Chiropr Assoc. 2004 Mar;48(1):5-12.
Prostatic cancer is the second most common cancer among North American men and the second leading cause of cancer deaths. It may be incidental or contribute to the cause of mechanical back pain. With such high mortality associated with metastasis, early detection is essential for appropriate medical management. Chiropractors are often consulted for back pain of mechanical origin and are in a position to detect conditions in which serious organic pathology may contribute to, or mimic benign musculoskeletal back pain. Patient history and clinical examination coupled with imaging may greatly increase the index of suspicion of prostatic involvement. Outlined is a case where imaging and examination confirmed a diagnosis of organic disease in an individual who opted for chiropractic care for his back pain, but for whom immediate medical management was essential.
前列腺癌是北美男性中第二常见的癌症，也是癌症死亡的第二大主要原因。它可能是偶然发现的，也可能是导致机械性背痛的原因。由于转移会带来如此高的死亡率，早期检测对于适当的医疗管理至关重要。脊椎按摩师经常会被咨询有关机械性起源的背痛问题，并且有能力检测出严重的器质性病变可能导致或模仿良性肌肉骨骼性背痛的情况。患者病史、临床检查以及影像学检查相结合，可能会大大提高对前列腺受累的怀疑指数。以下概述的是一个病例，在该病例中，影像学检查和体格检查确诊了一名因背痛选择接受脊椎按摩治疗但急需立即进行医疗管理的患者患有器质性疾病。
