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Neoplastic Lumbosacral Plexopathy in Untreated Cervical Cancer: A Case Report

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초록

In this report, we present the case of a patient with cervical adenocarcinoma with progressive right lower-extremity pain and weakness. Electromyography of the lower extremities and subsequent ultrasonographic imaging complementarily demonstrated findings considered suspicious for the perineural spread of malignancy to the lumbosacral plexus and sciatic nerve. This possibility was confirmed by magnetic resonance imaging (MRI) and fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) scanning. This case report suggests that in addition to MRI and FDG PET/CT scans, electromyography and ultrasonographic imaging are valuable modalities for the diagnosis of perineural malignancy.

Abstract

In this report, we present the case of a patient with cervical adenocarcinoma with progressive right lower-extremity pain and weakness. Electromyography of the lower extremities and subsequent ultrasonographic imaging complementarily demonstrated findings considered suspicious for the perineural spread of malignancy to the lumbosacral plexus and sciatic nerve. This possibility was confirmed by magnetic resonance imaging (MRI) and fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) scanning. This case report suggests that in addition to MRI and FDG PET/CT scans, electromyography and ultrasonographic imaging are valuable modalities for the diagnosis of perineural malignancy.

참고문헌 (10)

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  4. Howe BM, "Perineural spread of cervical cancer to the sciatic nerve", Skeletal Radiol, 42, pp.1627~1631 (2013)
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  8. Delanian S, "Radiation-induced neuropathy in cancer survivors", Radiother Oncol, 105, pp.273~282 (2012)
  9. Hoeller U, "Radiation-induced plexopathy and fibrosis: is magnetic resonance imaging the adequate diagnostic tool?", Strahlenther Onkol, 180, pp.650~654 (2004)
  10. Chhabra A, "Anatomic MR imaging and functional diffusion tensor imaging of peripheral nerve tumors and tumorlike conditions", AJNR Am Neuroradiol, 34, pp.802~807 (2013)

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