Blanchette Marc-André, Grenier Julie-Marthe
Public Health PhD Program School of Public Health, University of Montreal, Montreal, QC.
Associate Professor Department of Chiropractic, Université du Québec à Trois-Rivières, Trois-Rivières, QC.
J Can Chiropr Assoc. 2014 Sep;58(3):273-9.
Carcinoma of unknown primary sites is a clinical syndrome that represents many types of cancer. The mortality rate associate to this type of cancer is elevated and a rapid medical referral is required for patients presenting this condition. Pleural effusion may be the only visible sign. We report a case of pleural effusion secondary to a cancer of unknown primary site in a 60-year-old man that sought chiropractic care for radiating low back pain. The radiographic studies revealed a pleural effusion as one of the only significant finding. This article will address the clinical presentation, radiographic studies and a discussion on the radiographic detection of pleural effusion.
原发部位不明的癌是一种代表多种癌症类型的临床综合征。与这种癌症相关的死亡率较高，对于出现这种情况的患者需要迅速进行医疗转诊。胸腔积液可能是唯一可见的体征。我们报告一例60岁男性因放射性下背部疼痛寻求脊椎按摩治疗，其胸腔积液继发于原发部位不明的癌症。影像学检查显示胸腔积液是唯一的重要发现之一。本文将阐述临床表现、影像学检查以及关于胸腔积液影像学检测的讨论。
