腰椎管狭窄症神经痛混合宫颈癌术后癌性疼痛一例

Neurological pain induced by lumbar spinal stenosis complicated with postoperative cervical cancer pain:a case report

宫颈癌术后肿瘤侵犯腰部肌群、出现腰腿痛的临床报道较少,如患者影像学中存在腰椎退行性改变,则易误诊、误治。该文报道了1例有宫颈癌史的腰椎管狭窄症患者诊治过程。该例患者行腰椎减压手术后,腰腿痛症状未见缓解。术后经PET/CT等检查后,考虑肿瘤复发,行局部放射治疗后症状缓解。该例提示,对腰椎退行性病变合并宫颈癌史者,应仔细鉴别患者疼痛的种类,明确疼痛原因。

The incidence of lumbar and lower extremity pain caused by the tumor invasion into the lumbar muscles after cervical cancer surgery has been rarely reported. It is likely to make a misdiagnosis and mistreatment when the patient also presents with degenerative lumbar changes on the image. In this article, the diagnosis and treatment of one patient suffering from lumbar spinal stenosis with a history of cervical cancer were reported. After the lumbar decompression surgery, the symptoms of lumbar and lower extremity pain were not mitigated. Postoperative PET/CT examination prompted the signs of tumor recurrence. Relevant symptoms were patients who suffer from lumbar spinal stenosis with a history of cervical cancer.