Chest Wall Pain as the Presenting Symptom of Leptomeningeal Carcinomatosis
Annals of Rehabilitation Medicine
;
: 861-864, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-195548
ABSTRACT
Leptomeningeal metastasis (LMM), also referred to as leptomeningeal carcinomatosis, results from diffuse infiltration of the leptomeninges by malignant cells originating from extra-meningeal primary tumors. It occurs in approximately 5%-10% of patients with solid tumor. Among solid tumors, the most common types leading to infiltration of the leptomeninges are breast cancer, lung cancer, and melanoma. Patients with LMM may present various signs and symptoms. Herein, we report a rare case with initial presentation of isolated chest wall pain. Computed tomography of the chest with contrast revealed a 2.5-cm nodule over the left upper lung. Biopsy confirmed the diagnosis of adenocarcinoma. Later, cerebrospinal fluid cytology exam also confirmed leptomeningeal seeding. It is rare for leptomeningeal carcinomatosis patients to present with chest wall pain. Therefore, a high index of suspicion is mandatory for accurate and prompt diagnosis.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Thorax
/
Biopsie
/
Douleur thoracique
/
Tumeurs du sein
/
Adénocarcinome
/
Liquide cérébrospinal
/
Paroi thoracique
/
Diagnostic
/
Méningite carcinomateuse
/
Poumon
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Annals of Rehabilitation Medicine
Année:
2014
Type:
Article
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