Clinical Pain

  • 제19권1호
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  • Pages.54-58
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  • 2020
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  • 1598-5490(pISSN)
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  • 2765-5156(eISSN)
대한임상통증학회 (Korean Association of Pain Medicine)
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골격근전이로 진단된 보행 후 발생한 고관절 통증

Acute Onset Hip Pain after Excessive Walking Diagnosed with Skeletal Muscle Metastasis

  • 최재형 (성균관대학교 의과대학 강북삼성병원 재활의학교실) ;
  • 김건우 (성균관대학교 의과대학 강북삼성병원 재활의학교실) ;
  • 황진태 (성균관대학교 의과대학 강북삼성병원 재활의학교실) ;
  • 서진우 (성균관대학교 의과대학 강북삼성병원 재활의학교실) ;
  • 이용택 (성균관대학교 의과대학 강북삼성병원 재활의학교실) ;
  • 윤경재 (성균관대학교 의과대학 강북삼성병원 재활의학교실) ;
  • 도종걸 (성균관대학교 의과대학 삼성서울병원 재활의학교실)
  • Choi, Jae-Hyeong (Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Kun-Woo (Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Hwang, Jin-Tae (Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Suh, Jin-Woo (Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Yong-Taek (Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Yoon, Kyung-Jae (Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Do, Jong Geol (Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2019.10.31
  • 심사 : 2020.02.18
  • 발행 : 2020.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

Skeletal muscle metastasis of gastric cancer is extremely rare and is associated with various symptoms. Here, we report on a 60-year-old woman with right hip pain after excessive walking. Two years earlier, the patient had been treated for advanced gastric cancer (surgery, adjuvant chemotherapy). Upon magnetic resonance imaging, diffuse muscle swelling and high signal intensity were observed in T2-weighted images of the right hip muscle. However, the FDG uptake in the right gluteal muscles was not obviously increased. Pathological examination of muscle biopsy revealed metastatic adenocarcinoma of stomach origin. The patient was treated with chemotherapy, and the swelling and pain in the right hip are progressively improving.

키워드

참고문헌

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