Palliative care rounds: T12 epidural metastasis mimicks pelvic recurrence of cecal adenocarcinoma.
Following resection of an adenocarcinoma of the cecum, a 59-yr-old patient developed pelvic pain. Imaging of the pelvis was unrevealing, but magnetic resonance imaging of the spine demonstrated a T12 epidural lesion. Pelvic pain may be due to an upper lumbar or lower thoracic radiculopathy. This referral pattern must be recognized when evaluating cancer patients with occult pelvic pain.
Stübgen
J P
JP
Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D002430:Cecal Neoplasms / Q000473:pathology*; D003937:Diagnosis, Differential; D015174:Epidural Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis; D017699:Pelvic Pain / Q000209:etiology*