Woll P J, Rankin E M
Department of Clinical Oncology, Guy's Hospital, London.
Ann Rheum Dis. 1987 Sep;46(9):681-3. doi: 10.1136/ard.46.9.681.
Back pain is a common problem in rheumatology clinics and has a wide differential diagnosis. Ten young patients are described with the syndrome of persistent back pain, severe enough to prevent sleep, and characteristically eased by sitting forwards, which accompanies malignant retroperitoneal lymphadenopathy. Spinal movements and x rays are typically normal. Repeated thorough examinations are required to detect superficial adenopathy or testicular swellings. Ultrasound scanning usually reveals the nodes, which can also be demonstrated by computed tomographic (CT) scanning. These young patients have a variety of cancers, many of which can be cured, so increased awareness of this syndrome could save lives.
背痛是风湿病门诊常见的问题，鉴别诊断范围广泛。本文描述了10例年轻患者，他们患有持续性背痛综合征，疼痛严重到足以影响睡眠，典型特点是向前坐可缓解疼痛，该症状伴有恶性腹膜后淋巴结肿大。脊柱活动及X线检查通常正常。需要反复进行全面检查以发现浅表淋巴结肿大或睾丸肿大。超声扫描通常能发现这些淋巴结，计算机断层扫描（CT）也可显示。这些年轻患者患有多种癌症，其中许多是可以治愈的，因此提高对该综合征的认识可能挽救生命。
