以颈部、手臂和胸部疼痛为表现的膀胱转移瘤：一例报告

Bladder metastasis presenting as neck, arm and thorax pain: a case report.

作者信息

Daniels Clinton J, Wakefield Pamela J, Bub Glenn A

机构信息

Chiropractic Clinic, VA St. Louis Healthcare System, 1 Jefferson Barracks Rd, Saint Louis, MO USA ; Logan University, College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO USA ; 811 Rowell St., Steilacoom, WA 98388 USA.

Chiropractic Clinic, VA St. Louis Healthcare System, 1 Jefferson Barracks Rd, Saint Louis, MO USA ; Logan University, College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO USA.

出版信息

Chiropr Man Therap. 2016 May 4;24:14. doi: 10.1186/s12998-016-0097-8. eCollection 2016.

DOI:10.1186/s12998-016-0097-8

PMID:27148441

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4855475/

Abstract

BACKGROUND

A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed.

CASE PRESENTATION

This patient presented in November 2014 with progressive neck, thorax and upper extremity pain. Computed tomography revealed a destructive soft tissue mass in the cervical spine and additional lytic lesion of the 1st rib. Prompt referral was made for surgical consultation and medical management.

CONCLUSION

Distant metastasis is rare, but can present as a musculoskeletal complaint. History of carcinoma should alert the treating chiropractic physician to potential for serious disease processes.

摘要