Metastatic mucinous cystadenocarcinoma of the pancreas presenting as intractable back pain

An 85-year-old woman presented to the emergency department for evaluation of gradually worsening upper back pain of 3 weeks’ duration. Her pain radiated down her right arm and was associated with right arm weakness. She reported visiting pain medicine specialists who administered steroid and lidocai...

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Bibliographic Details
Published in:BMJ case reports 2019-12, Vol.12 (11), p.e230070
Main Authors: Pigg, Nicholas, Banks, James, Siddall, Kristina
Format: Article
Language:English
Subjects:
Abdomen
Aged, 80 and over
Annotations
Back pain
Back Pain - etiology
Cancer
Cardiovascular disease
Case reports
Cystadenocarcinoma, Mucinous - complications
Cystadenocarcinoma, Mucinous - pathology
Cysts
Emergency medical care
Family medical history
Female
Humans
interventional radiology
Liver
Lymphatic system
Medical prognosis
Metastasis
Multiple myeloma
Neoplasm Metastasis
oncology
Pain, Intractable - etiology
Pancreas
Pancreatic cancer
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - pathology
Patients
radiology
Tumors
Unusual Association of Diseases/Symptoms
Citations: Items that this one cites
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Description
Summary:An 85-year-old woman presented to the emergency department for evaluation of gradually worsening upper back pain of 3 weeks’ duration. Her pain radiated down her right arm and was associated with right arm weakness. She reported visiting pain medicine specialists who administered steroid and lidocaine injections, which failed to improve her symptoms. Initial CT of her chest revealed a large lytic lesion within her posterior right fourth rib extending into her T4 vertebral body. The primary malignancy, a mucinous cystadenocarcinoma of the pancreas, was later found on a CT of the abdomen. The patient was also found to have multiple pulmonary, hepatic and lymphatic metastases from the pancreatic primary tumour.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2019-230070