Benign and Malignant Tumors Detected in the Patients with Intractable Chest Pain: 2 case reports.
10.3344/kjp.2005.18.2.255
- Author:
Min Ah KWON
1
;
Jeong Heon PARK
;
Rea Geun YOO
;
Tae Hyung KIM
;
Woo Seog SIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, College of Medicine, Sungkyunkwan University, Seoul, Korea. bluecar.kim@samsung.net
- Publication Type:Case Report
- Keywords:
back pain;
chest pain;
mesothelioma;
schwannoma;
spinal cord neoplasms
- MeSH:
Adult;
Aged;
Back Pain;
Chest Pain*;
Cough;
Dyspnea;
Electrocardiography;
Female;
Hematologic Tests;
Humans;
Laminectomy;
Magnetic Resonance Imaging;
Male;
Mesothelioma;
Neoplasm Metastasis;
Neuralgia;
Neurilemmoma;
Neurologic Manifestations;
Pain Clinics;
Spinal Cord Neoplasms;
Spine;
Thorax*;
Tomography, X-Ray Computed;
Ultrasonography
- From:The Korean Journal of Pain
2005;18(2):255-258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Many patients with intractable chest pain visit pain clinics, two of which, with rare cases of an intraspinal tumor and malignant mesothelioma were experiences at our clinic. A 37-year old female patient presented with exacerbating chest pain, but without neurological manifestations, of 15-months duration. Her laboratory findings, such as blood tests, chest X-ray, EKG, abdominal ultrasonography and chest CT, were normal. MRI revealed an intradural extramedullary schwannoma at the T 5 and 6 levels of the thoracic spine. She completely recovered following a laminectomy, with removal of the tumor. The other case was a 65-year old male patient, who presented with chest and back pain in the thoracic area of 6 months duration. He had no cough and dyspnea, and was initially misdiagnosed with intercostal neuralgia; therefore, pain control medication was administered, but all trials were ineffective. Finally, chest CT revealed a malignant mesothelioma, with multiple spine metastases. In conclusion, patients with intractable chest pain should be re-examined both clinically and radiographically.
