粒细胞肉瘤：坐骨神经痛的罕见病因。

Granulocytic sarcoma: a rare cause of sciatica.

作者信息

Valsamis Epaminondas Markos, Glover Thomas Edward

机构信息

Department of Trauma and Orthopaedics, Hinchingbrooke Health Care NHS Trust, Huntingdon, Cambridgeshire, UK.

Department of General Medicine, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.

出版信息

BMJ Case Rep. 2017 Feb 15;2017:bcr2016219009. doi: 10.1136/bcr-2016-219009.

DOI:10.1136/bcr-2016-219009

PMID:28202486

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5318607/

Abstract

We describe a case report of a man aged 56 years with a 4-month history of right-sided sciatica-type pain with subclinical disc prolapse evident on MRI. Worsening pain together with the appearance of a tender mass in his right buttock prompted further imaging, which demonstrated an infiltrative mass engulfing the lumbosacral plexus. This was later shown to be a granulocytic sarcoma on biopsy. Intervertebral disc herniation can be an incidental finding and is not always the cause of sciatica.

摘要

我们报告一例56岁男性病例，其有4个月右侧坐骨神经痛样疼痛病史，MRI显示有亚临床椎间盘突出。疼痛加重以及右臀部出现压痛性肿块促使进一步影像学检查，结果显示有一浸润性肿块包绕腰骶丛。活检后来证实这是一例粒细胞肉瘤。椎间盘突出可能是偶然发现，并不总是坐骨神经痛的病因。