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Detection of Colorectal Cancer with Spine Metastasis During Conservative Treatment for Lumbar Disc Herniation:A Case Report

요추 추간판 탈출증 치료 중 척추 전이가 발생한 대장암 환자 1예

  • Kwon, Yong-Su (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Bae, Jun-Hyo (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Yu, Jae-eun (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Hyo-Jun (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Park, Joon (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Gook-Beom (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Hee-Won (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Min-Kyun (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Hong, Jung-soo (Department of Internal Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 권용수 (대전자생한방병원 한방재활의학과) ;
  • 배준효 (대전자생한방병원 한방재활의학과) ;
  • 유재은 (대전자생한방병원 한방재활의학과) ;
  • 김효준 (대전자생한방병원 한방재활의학과) ;
  • 박주언 (대전자생한방병원 한방재활의학과) ;
  • 김국범 (대전자생한방병원 한방재활의학과) ;
  • 이희원 (대전자생한방병원 한방재활의학과) ;
  • 김민균 (대전자생한방병원 한방재활의학과) ;
  • 홍정수 (대전자생한방병원 한방내과)
  • Received : 2020.09.06
  • Accepted : 2020.09.30
  • Published : 2020.10.31

Abstract

The objective of this study is to report an accidental detection of colorectal cancer (CRC) metastasis to spine during conservative treatment for lumbar disc herniation. We treated a 65-year-old female who was diagnosed with lumbar disc herniation on September 2019 by acupuncture, pharmacopuncture, cupping treatment, chuna manual therapy, herbal medicine treatment, medicine treatment and physical therapy. After that we analyzed medical record from December 12, 2019 to February 11, 2020. The patient was diagnosed with CRC and received tumor resection in 2014. After 2 times of chemotherapy, she arbitrarily interrupted the treatment. Since she stated that CRC treatment was terminated, we had difficulty in finding connection between symptom and CRC. During the treatment period, compression fracture at L3 body was found, which was caused by CRC metastasis. Rigorous question, appropriate radiological and clinical tests are required to patients who have history of malignant tumor.

Keywords

References

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