Chronic lower back pain due to sarcoma.
We describe a 74-year-old woman with extensive pelvic leiomyosarcoma presenting with uncharacteristic musculoskeletal pain of the lumbosacral region and left lower extremity. Hemipelvectomy was considered the treatment of choice, and a model for a pelvic prosthesis was constructed based on imaging analysis. However, the tumour (and the complaints) responded surprisingly well to a combined treatment regimen including superselective arterial catheter embolization, which led to tumour regression to such a degree that aggressive surgical treatment became unnecessary.
Hueber
W
W
2nd Medical Department, Centre for Diagnosis and Treatment of Rheumatic Diseases, Lainz Hospital, Vienna, Austria.
Dominkus
M
M
Vesely
M
M
Mendel
M
M
Kotz
R
R
Czembirek
H
H
Smolen
J S
JS
D000368:Aged; D002908:Chronic Disease; D004621:Embolization, Therapeutic; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000209:etiology*; D008161:Lumbosacral Region / Q000098:blood supply / Q000000981:diagnostic imaging; D010388:Pelvis; D014057:Tomography, X-Ray Computed