Daniels Clinton J, Wakefield Pamela J, Bub Glenn A
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.
Chiropr Man Therap. 2016 May 4;24:14. doi: 10.1186/s12998-016-0097-8. eCollection 2016.
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.
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.
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.
报告一例继发于尿路上皮癌的转移性癌，表现为肌肉骨骼疼痛。本文简要回顾了尿路上皮癌和转移性癌，包括临床表现、诊断检查、治疗以及整脊治疗的注意事项。
该患者于2014年11月出现进行性颈部、胸部和上肢疼痛。计算机断层扫描显示颈椎有一个破坏性软组织肿块，第一肋骨还有溶骨性病变。迅速转诊以进行外科会诊和药物治疗。
远处转移罕见，但可表现为肌肉骨骼方面的主诉。癌症病史应提醒主治整脊医生注意严重疾病过程的可能性。
