Spine and scapular pain: an unusual presentation of colon adenocarcinoma
Identifieur interne : 001931 ( Istex/Corpus ); précédent : 001930; suivant : 001932Spine and scapular pain: an unusual presentation of colon adenocarcinoma
Auteurs : Parikshit Padhi ; Christine MackeySource :
- BMJ Case Reports [ 1757-790X ] ; 2013-07-16.
English descriptors
- KwdEn :
- Abnormal signal, Adenocarcinoma, Bone biopsy, Bone marrow, Bone metastases, Bone scan, Broblast growth factor, Cancer care, Cancer cells, Carcinoma, Case report, Colon, Colon adenocarcinoma, Colon cancer, Colorectal, Common sites, Cytokine, Further permission, Growth factor, Growth factors, Home hospice, Ibandronate, Lower thoracic, Lumbar, Lumbar spine, Malignancy, Metastasis, Metastatic, Metastatic adenocarcinoma, Metastatic bone disease, Murine breast cancer model, Osseous, Osseous metastases, Osseous spread, Padhi, Palliative radiation, Receptor, Receptor activator, Scapular pain, Skeletal events, Skeletal metastases, Spinal stenosis, Stenosis, Thoracic, Thoracolumbar spine, Tumor growth, Tumour, Tumour cells, Unusual presentation.
- Teeft :
- Abnormal signal, Adenocarcinoma, Bone biopsy, Bone marrow, Bone metastases, Bone scan, Broblast growth factor, Cancer care, Cancer cells, Carcinoma, Case report, Colon, Colon adenocarcinoma, Colon cancer, Colorectal, Common sites, Cytokine, Further permission, Growth factor, Growth factors, Home hospice, Ibandronate, Lower thoracic, Lumbar, Lumbar spine, Malignancy, Metastasis, Metastatic, Metastatic adenocarcinoma, Metastatic bone disease, Murine breast cancer model, Osseous, Osseous metastases, Osseous spread, Padhi, Palliative radiation, Receptor, Receptor activator, Scapular pain, Skeletal events, Skeletal metastases, Spinal stenosis, Stenosis, Thoracic, Thoracolumbar spine, Tumor growth, Tumour, Tumour cells, Unusual presentation.
Abstract
We are presenting an elderly Caucasian woman who was admitted to our hospital for severe lower back pain and scapular pain for 8 days. She had a history of spinal stenosis and we believed this was the aetiology of her pain. However, her pain was not subsiding and hence an MRI spine was performed. It revealed spinal stenosis and abnormal signal in the lower thoracic and lumbar vertebrae. Hence a bone biopsy was performed that came back as metastatic adenocarcinoma. She underwent a bone scan and revealed diffuse disease in thoracic, lumbar, sacral spine as well as third and 10th ribs. Her CT chest/abdomen/pelvis revealed no primary tumour. A mass was detected on her colonscopy, and pathology revealed adenocarcinoma. She underwent palliative radiation and one cycle of chemotherapy. She was discharged to home hospice care. It is very rare to have osseous metastases as the only manifestation of colon cancer.
Url:
DOI: 10.1136/bcr-2013-010239
Links to Exploration step
ISTEX:6DB0D2948473579CED609BCAAB7FEA4190CB1195Le document en format XML
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She had a history of spinal stenosis and we believed this was the aetiology of her pain. However, her pain was not subsiding and hence an MRI spine was performed. It revealed spinal stenosis and abnormal signal in the lower thoracic and lumbar vertebrae. Hence a bone biopsy was performed that came back as metastatic adenocarcinoma. She underwent a bone scan and revealed diffuse disease in thoracic, lumbar, sacral spine as well as third and 10th ribs. Her CT chest/abdomen/pelvis revealed no primary tumour. A mass was detected on her colonscopy, and pathology revealed adenocarcinoma. She underwent palliative radiation and one cycle of chemotherapy. She was discharged to home hospice care. 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She had a history of spinal stenosis and we believed this was the aetiology of her pain. However, her pain was not subsiding and hence an MRI spine was performed. It revealed spinal stenosis and abnormal signal in the lower thoracic and lumbar vertebrae. Hence a bone biopsy was performed that came back as metastatic adenocarcinoma. She underwent a bone scan and revealed diffuse disease in thoracic, lumbar, sacral spine as well as third and 10th ribs. Her CT chest/abdomen/pelvis revealed no primary tumour. A mass was detected on her colonscopy, and pathology revealed adenocarcinoma. She underwent palliative radiation and one cycle of chemotherapy. She was discharged to home hospice care. It is very rare to have osseous metastases as the only manifestation of colon cancer.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>case-report-type</head><item><term>Unusual presentation of more common disease/injury</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>search-fields</head><item><term>Female</term></item><item><term>>80 years</term></item><item><term>White</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Oncology</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Unusual presentation of more common disease/injury</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>hwp-journal-coll</head><item><term>Colon cancer</term></item></list></keywords></textClass><textClass><keywords 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<country>USA</country></aff><author-notes><corresp><label>Correspondence to</label> Dr Parikshit Padhi, <email>parikshit.padhi@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub-original"><day>16</day><month>7</month><year>2013</year></pub-date><volume>2013</volume><volume-id pub-id-type="other">2013</volume-id><volume-id pub-id-type="other">2013</volume-id><elocation-id>bcr2013010239</elocation-id><permissions><copyright-statement>2013 BMJ Publishing Group Ltd</copyright-statement><copyright-year>2013</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="casereports-2013-bcr-2013-010239.pdf"></self-uri><abstract><p>We are presenting an elderly Caucasian woman who was admitted to our hospital for severe lower back pain and scapular pain for 8 days. She had a history of spinal stenosis and we believed this was the aetiology of her pain. However, her pain was not subsiding and hence an MRI spine was performed. It revealed spinal stenosis and abnormal signal in the lower thoracic and lumbar vertebrae. Hence a bone biopsy was performed that came back as metastatic adenocarcinoma. She underwent a bone scan and revealed diffuse disease in thoracic, lumbar, sacral spine as well as third and 10th ribs. Her CT chest/abdomen/pelvis revealed no primary tumour. A mass was detected on her colonscopy, and pathology revealed adenocarcinoma. She underwent palliative radiation and one cycle of chemotherapy. She was discharged to home hospice care. It is very rare to have osseous metastases as the only manifestation of colon cancer.</p></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Spine and scapular pain: an unusual presentation of colon adenocarcinoma</title><partName>CASE REPORT</partName></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Spine and scapular pain: an unusual presentation of colon adenocarcinoma</title><partName>CASE REPORT</partName></titleInfo><name type="personal"><namePart type="given">Parikshit</namePart><namePart type="family">Padhi</namePart><affiliation>Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Christine</namePart><namePart type="family">Mackey</namePart><affiliation>Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="case-report" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2013-07-16</dateIssued><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>We are presenting an elderly Caucasian woman who was admitted to our hospital for severe lower back pain and scapular pain for 8 days. She had a history of spinal stenosis and we believed this was the aetiology of her pain. However, her pain was not subsiding and hence an MRI spine was performed. It revealed spinal stenosis and abnormal signal in the lower thoracic and lumbar vertebrae. Hence a bone biopsy was performed that came back as metastatic adenocarcinoma. She underwent a bone scan and revealed diffuse disease in thoracic, lumbar, sacral spine as well as third and 10th ribs. Her CT chest/abdomen/pelvis revealed no primary tumour. A mass was detected on her colonscopy, and pathology revealed adenocarcinoma. She underwent palliative radiation and one cycle of chemotherapy. She was discharged to home hospice care. It is very rare to have osseous metastases as the only manifestation of colon cancer.</abstract><relatedItem type="host"><titleInfo><title>BMJ Case Reports</title></titleInfo><titleInfo type="abbreviated"><title>BMJ Case Reports</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>case-report-type</genre><topic>Unusual presentation of more common disease/injury</topic></subject><subject><genre>search-fields</genre><topic>Female</topic><topic>>80 years</topic><topic>White</topic><geographic>USA/Canada</geographic></subject><subject><genre>hwp-journal-coll</genre><topic>Oncology</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Unusual presentation of more common disease/injury</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Colon cancer</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Carcinogenesis</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Radiotherapy</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Rheumatology</topic></subject><subject><genre>hwp-journal-coll</genre><topic>Degenerative joint disease</topic></subject><identifier type="eISSN">1757-790X</identifier><identifier type="PublisherID">bmjcasereports</identifier><identifier type="PublisherID-hwp">casereports</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>2013</number></detail></part></relatedItem><identifier type="istex">6DB0D2948473579CED609BCAAB7FEA4190CB1195</identifier><identifier type="ark">ark:/67375/NVC-7C8DT3FN-M</identifier><identifier type="DOI">10.1136/bcr-2013-010239</identifier><identifier type="href">casereports-2013-bcr-2013-010239.pdf</identifier><identifier type="ArticleID">bcr-2013-010239</identifier><identifier type="local">casereports;2013/jul16_1/bcr2013010239</identifier><accessCondition type="use and reproduction" contentType="copyright">2013 BMJ Publishing Group Ltd</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</recordContentSource><recordOrigin>2013 BMJ Publishing Group Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/6DB0D2948473579CED609BCAAB7FEA4190CB1195/metadata/json</uri></json:item></metadata><annexes><json:item><extension>jpeg</extension><original>true</original><mimetype>image/jpeg</mimetype><uri>https://api.istex.fr/document/6DB0D2948473579CED609BCAAB7FEA4190CB1195/annexes/jpeg</uri></json:item></annexes><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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