Öz
Although it is well known that the most common cause of lower back and leg pain in the elderly is the degenerative spine disorder, metastatic spine tumors are seen more often than before. Spine metastasis is not a rare pathology and it is been diagnosed more frequently due to the recent developments in radiological techniques and their easy accessibility. In metastatic spine metastasis, cord compression is seen in about 10% to 15 of cases and these patients present with different signs and symptoms according to the level of pathology. Herein, we present an elderly male patient who presented with lower back and leg pain and was diagnosed with a metastatic adenocarcinoma
Anahtar Kelimeler
Kaynakça
- George R, Jeba J, Ramkumar G, Chacko AG, Leng M, Tharyan P. Interventions for the treatment of metastatic extradural spinal cord compression in adults. Cochrane Database of Systematic Reviews 2008, Issue 4. Art. No.: CD006716. DOI:10.1002/14651858.CD006716. pub2.
- Susuki K, Matsumoto S, Kitagawa N, Shinohara H, Hasegawa O, Kuroiwa Y. Epidural compression of the cauda equina caused by vertebral osteoblastic metastasis of prostatic carcinoma: resolution by hormonal therapy. J Neurol Neurosurg Psychiatry 2000; 68: 514-5.
- Kienstra GEM, Terwee CB, Dekker FW, Canta LR, Borstlap ACW, Tijssen CC, Bosch A, Tijssen JPG. Prediction of spinal epidural metastases. Arch Neurol 2000; 57:690-5.
- Chamberlain MC, Kormanik PA. Epidural spinal kord compression: A single institution’s retrospective experience. Neuro-Oncology. 1999; 1:120-3.
- Ulrich PF. Low back pain in older adults. http://www.spinehealth. com/conditions/lower-back-pain/low-back-pain-older-adults/ 30.04.2012.
- Choi D, Crockard A, Bunger C, Harms J, Kawahara N, Mazel C, Melcher R, Tomita K. Review of metastatic spine tumour classification and indications for surgery: the consensus statement of the Global Spine Tumour Study Group. Eur Spine J 2010;19:215-22.
- Ecker RD, Endo T, Wetjen NM, Krauss WE. Diagnosis and treatment of vertebral column metastases. Mayo Clin Proc 2005; 80:1177-186.
- Wiltshire S, Potter A. Palliative radiotherapy in modern practice. CancerForum.2012;36. (http://www.cancerforum.org.au/ Issues/2012/July/Forum/Palliative_radiotherapy_in_modern_ practice.htm)
Öz
İleri yaştaki hasta grubunda bel ve bacak ağrısının en sık sebebi dejeneratif omurga hastalıkları olarak bilinmekle birlikte günümüzde bu yaş grubunda metastatik omurga tümörlerine de sık rastlanılmaktadır. Sistemik kanserlerde omurga metastazı, nadir bir hadise olmayıp özellikle görüntüleme tekniklerindeki gelişmelere ve bunların yaygınlaşmasına bağlı olarak daha sık tanı almaktadır. Omurga metastazlarında yaklaşık %10 ila 15 oranında omurilik kompresyonu görülmekte ve bu hastalar patoloji seviyesine göre değişen klinik şikâyet ve bulgularla başvurmaktadırlar. Bu yazıda bel ve bacak ağrısı şikâyetleri ile başvuran ve metastatik omurga tümörü tanısı konulan ileri yaştaki bir erkek hasta sunulacaktır
Anahtar Kelimeler
Kaynakça
- George R, Jeba J, Ramkumar G, Chacko AG, Leng M, Tharyan P. Interventions for the treatment of metastatic extradural spinal cord compression in adults. Cochrane Database of Systematic Reviews 2008, Issue 4. Art. No.: CD006716. DOI:10.1002/14651858.CD006716. pub2.
- Susuki K, Matsumoto S, Kitagawa N, Shinohara H, Hasegawa O, Kuroiwa Y. Epidural compression of the cauda equina caused by vertebral osteoblastic metastasis of prostatic carcinoma: resolution by hormonal therapy. J Neurol Neurosurg Psychiatry 2000; 68: 514-5.
- Kienstra GEM, Terwee CB, Dekker FW, Canta LR, Borstlap ACW, Tijssen CC, Bosch A, Tijssen JPG. Prediction of spinal epidural metastases. Arch Neurol 2000; 57:690-5.
- Chamberlain MC, Kormanik PA. Epidural spinal kord compression: A single institution’s retrospective experience. Neuro-Oncology. 1999; 1:120-3.
- Ulrich PF. Low back pain in older adults. http://www.spinehealth. com/conditions/lower-back-pain/low-back-pain-older-adults/ 30.04.2012.
- Choi D, Crockard A, Bunger C, Harms J, Kawahara N, Mazel C, Melcher R, Tomita K. Review of metastatic spine tumour classification and indications for surgery: the consensus statement of the Global Spine Tumour Study Group. Eur Spine J 2010;19:215-22.
- Ecker RD, Endo T, Wetjen NM, Krauss WE. Diagnosis and treatment of vertebral column metastases. Mayo Clin Proc 2005; 80:1177-186.
- Wiltshire S, Potter A. Palliative radiotherapy in modern practice. CancerForum.2012;36. (http://www.cancerforum.org.au/ Issues/2012/July/Forum/Palliative_radiotherapy_in_modern_ practice.htm)
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2013 |
| Yayımlandığı Sayı | Yıl 2013Sayı: 1 |