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[Pain in one leg in patients with cancer].
- Source :
-
Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 1998 Sep 26; Vol. 142 (39), pp. 2129-32. - Publication Year :
- 1998
-
Abstract
- Two patients, a woman aged 65 years and a man aged 56 years, with cancer, presented with pain in one leg as the first manifestation of metastases. The woman had tumour plexopathy of the lumbosacral plexus caused by an os sacrum metastasis of a thyroid carcinoma; she received radiotherapy but died a short time later. The man had lumbosacral epidural metastases of a colon carcinoma, compressing lumbosacral roots; with radiotherapy he survived the first year. Back pain with radiating pain is a frequent symptom in patients with cancer. Spinal epidural metastases, spinal and paraspinal metastases without epidural extension, tumour plexopathy and leptomeningeal metastases are the commonest causes. Early diagnosis (by MRI or spinal fluid examination) is important; with progressive weakness or sphincter disturbances the prognosis worsens.
- Subjects :
- Aged
Colonic Neoplasms pathology
Epidural Neoplasms diagnosis
Epidural Neoplasms radiotherapy
Fatal Outcome
Female
Humans
Male
Middle Aged
Spinal Cord Compression etiology
Spinal Neoplasms diagnosis
Spinal Neoplasms radiotherapy
Thyroid Neoplasms pathology
Epidural Neoplasms secondary
Low Back Pain etiology
Sacrum
Sciatica etiology
Spinal Neoplasms secondary
Subjects
Details
- Language :
- Dutch; Flemish
- ISSN :
- 0028-2162
- Volume :
- 142
- Issue :
- 39
- Database :
- MEDLINE
- Journal :
- Nederlands tijdschrift voor geneeskunde
- Publication Type :
- Academic Journal
- Accession number :
- 9856227