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Neoplasm Metastasis of Cervical Vertebrae Found in Lung Neoplasm Patient Suffering Neck Pain: A Case Report

폐암의 경추 전이로 인한 경추통 환자 1예

  • Kim, Min-Woo (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Woosuk University) ;
  • Lee, Ji-Won (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Woosuk University) ;
  • Jo, Dong-Chan (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Woosuk University) ;
  • Ko, Youn-Seok (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Woosuk University)
  • 김민우 (우석대학교 한의과대학 한방재활의학교실) ;
  • 이지원 (우석대학교 한의과대학 한방재활의학교실) ;
  • 조동찬 (우석대학교 한의과대학 한방재활의학교실) ;
  • 고연석 (우석대학교 한의과대학 한방재활의학교실)
  • Received : 2021.06.15
  • Accepted : 2021.06.30
  • Published : 2021.07.31

Abstract

The purpose of this study is to report a case in which neoplasm metastases of cervical vertebrae were found in lung cancer patient during inpatient treatment for neck pain. Pain assessment and physical examination including numeral rating scale, range of motion of neck, Spurling's test, cervical compression test were performed. As a result, C-spine series X-ray was taken under the judgement it is not a simple neck pain. Bone metastases were suspected as X-ray showed loss of C7 left pedicle, indistinct C7 left transverse process and indistinct C4 upper margin. Magnetic resonance imaging and computed tomography were taken as further examination, and metastases of C4, C6, C7 were confirmed. The patient was transferred for professional treatment. In conclusion, this study shows the importance of appropriate diagnostic evaluation such as pain assessment and physical examination, and the need for diagnostic imaging in the treatment of patients with neoplasm history.

Keywords

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