Finucane Laura
Spinal Clinic, First Community Health and Care, Musculoskeletal Interface Team, Oxted Therapies Unit, Barnetts Shaw Way, Oxted RH8 0NQ, UK.
Man Ther. 2013 Dec;18(6):624-7. doi: 10.1016/j.math.2013.02.009. Epub 2013 Mar 17.
Clinicians working in spinal clinics and outpatient settings are faced with the possibility of identifying patients with serious pathology causing back pain. Spinal metastatic disease is the most common serious pathology seen in non-surgical spinal clinics, with breast cancer being the most common cause of spinal metastases in women (Van Goethem et al., 2004). This case report describes the assessment and treatment of a patient presenting with low back pain radiating into the abdomen and bilateral anterior thigh pain, which was metastatic in origin. This case highlights the importance of early diagnosis of metastatic disease, and identifies symptoms that may help to raise the index of suspicion for the clinician.
在脊柱诊所和门诊工作的临床医生面临着识别出患有导致背痛的严重病理状况患者的可能性。脊柱转移性疾病是在非手术脊柱诊所中最常见的严重病理状况，乳腺癌是女性脊柱转移的最常见原因（Van Goethem等人，2004年）。本病例报告描述了一名出现下背部疼痛并放射至腹部及双侧大腿前侧疼痛患者的评估和治疗过程，该疼痛源于转移性疾病。本病例突出了转移性疾病早期诊断的重要性，并确定了可能有助于提高临床医生怀疑指数的症状。
