The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Benign and Malignant Tumors Detected in the Patients with Intractable Chest Pain -2 case reports-

난치성 흉통 환자에서 발견된 양성 및 악성 종양 -증례 보고-

  • Kwon, Min Ah (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, College of Medicine, Sungkyunkwan University) ;
  • Park, Jeong Heon (Departrnent of Anesthesiology and Pain Medicine, Bundang Hospital, Seoul National University College of Medicine) ;
  • Yoo, Rea Geun (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, College of Medicine, Sungkyunkwan University) ;
  • Kim, Tae Hyung (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, College of Medicine, Sungkyunkwan University) ;
  • Sim, Woo Seog (Department of Anesthesiology and Pain Medicine, Samsung Medical Center, College of Medicine, Sungkyunkwan University)
  • 권민아 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실) ;
  • 박정헌 (분당서울대학교병원 마취통증의학과) ;
  • 유래근 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실) ;
  • 김태형 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실) ;
  • 심우석 (성균관대학교 의과대학 삼성서울병원 마취통증의학교실)
  • Received : 2005.09.20
  • Accepted : 2005.12.07
  • Published : 2005.12.10
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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.

Keywords

References

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