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
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<title-group><article-title>Spine and scapular pain: an unusual presentation of colon adenocarcinoma</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Padhi</surname>
<given-names>Parikshit</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Mackey</surname>
<given-names>Christine</given-names>
</name>
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<aff><addr-line>Department of Internal Medicine</addr-line>
, <institution>Allegheny General Hospital</institution>
, <addr-line>Pittsburgh, Pennsylvania</addr-line>
, <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>
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<copyright-year>2013</copyright-year>
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<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>
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<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>
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<subject><genre>search-fields</genre>
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