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

被引：3
作者：
Daniels C.J. [1 ,2 ,3 ]
Wakefield P.J. [1 ,2 ]
Bub G.A. [1 ,2 ]
机构：
[1] Chiropractic Clinic, VA St. Louis Healthcare System, 1 Jefferson Barracks Rd, Saint Louis, MO
[2] Logan University, College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO
[3] 811 Rowell St., Steilacoom, 98388, WA
来源：
Chiropractic & Manual Therapies | / 24卷 / 1期
关键词：
Bladder cancer; Case report; Chiropractic; Metastasis; Neck pain; Transitional cell carcinoma;
D O I：
10.1186/s12998-016-0097-8
中图分类号：
学科分类号：
摘要：
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. © 2016 Daniels et al.
引用
收藏
相关论文
共 41 条
[31]  
Mohr D.N., Offord K.P., Owen R.A., Melton L.J., Asymptomatic microhematuria and urologic disease. A population-based study, JAMA, 256, 2, pp. 224-229, (1986)
[32]  
Sciubba D.M., Gokaslan Z.L., Diagnosis and management of metastatic spine disease, Surg Oncol, 15, 3, pp. 141-151, (2006)
[33]  
Greene F.L., Page D.L., Fleming I.D., Urinary bladder, AJCC Cancer Staging Manual, pp. 335-340, (2002)
[34]  
Molina C.A., Gokaslan Z.L., Sciubba D.M., Spinal tumors, Primary Central Nervous System Tumors: Pathogenesis and Therapy, (2011)
[35]  
Arguello F., Baggs R.B., Duerst R.E., Et al., Pathogenesis of vertebral metastasis and epidural spinal cord compression, Cancer, 65, 1, pp. 98-106, (1990)
[36]  
Mazel C., Balabaud L., Bennis S., Et al., Cervical and thoracic spine tumor management: surgical indications, techniques, and outcomes, Orthop Clin North Am, 40, 1, (2009)
[37]  
Eur A.M., Spine J., Spinal metastasis in the elderly, Eur Spine J, 12, pp. S202-S213, (2003)
[38]  
Mesfin A., Buchowski J.M., Gokaslan Z.L., Bird J.E., Management of metastatic cervical spine tumors, J Am Acad Orthop Surg, 23, 1, pp. 38-46, (2015)
[39]  
Evans R.C., Rosner A.L., Alternatives in cancer pain treatment: The application of chiropractic care, Semin Oncol Nurs, 21, 3, pp. 184-189, (2005)
[40]  
Schneider J., Gilford S., The chiropractor's role in pain management for oncology patients, J Manipulative Physiol Ther, 24, 1, pp. 52-57, (2001)
12345