《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (09): 895-896.

• 临床观察 • 上一篇    下一篇

肺癌骨转移并肩背软组织疼痛误诊1例报道

王军; 王刚   

  1. 解放军总医院康复医学科,北京市 100853
  • 收稿日期:2007-03-29 出版日期:2007-09-01 发布日期:2007-09-01

Misdiagnosis of Pulmonary Cancer Osseous Metastasis with Shoulder and Back Pain:1 Case Report

WANG Jun, WANG Gang   

  1. Department of Rehabilitation Medicine, General Hospital of PLA, Beijing 100853, China
  • Received:2007-03-29 Published:2007-09-01 Online:2007-09-01

PDF (PC)

被引次数

3

摘要： 目的分析肺癌骨转移引起肩背疼痛症状导致误诊的原因及预防。方法结合文献分析1例误诊为颈椎间盘突出症、颈肩背部慢性软组织损害的肺癌骨转移致肩背痛患者的诊疗过程。结果受累椎体发生溶骨性破坏或楔形变,肿瘤侵犯骨皮质或其周围软组织肿块刺激脊髓或神经根而引起肩背疼痛的症状,是引起本病误诊的常见原因。结论仔细询问病史,认真查体,不断养成系统鉴别诊断的思维方式,结合早期特异性强的影像学检查可降低误诊率。

关键词: 肺癌, 误诊, 疼痛, 椎间盘突出

Abstract: Objective To analysis the reason why patients with shoulder and back pain caused by pulmonary cancer osseous metastasis were misdiagnosed.Methods A patient of pulmonary cancer with osseous metastasis who was misdiagnosed as herniation of cervical disc,shoulder and back chronic lesion were analysed and reviewed with the literature.Results The involved vertebral bodies were osteolysis or wedging,the tumor encroach in cortical bone or soft tissue could result in shoulder and back pain.Conclusion A complete history and physical examine,systemic differential diagnosis,proper radiographic examination can decrease the incidence of misdiagnosis.

Key words: pulmonary cancer, misdiagnosis, pain, herniation of cervical disc