Low Backache – Profile of Oncological Patients
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Back pain is one of the most common complaints which brings patients to physician. Spine is one of the most common site for metastasis. The most common primary tumor in patients with metastasis are breast, lung, prostate and kidney. This study aimed to evaluate patients profile for low backache in different types of malignancy. Material and Methods: Total 50 patients of histopathologically proven different malignancy were retrospectively analysed for low backache during 2014 to 2016. Cases included were both metastatic bone disease in vertebrae, pelvic bone, proximal femur and primary tumors of spine. Results: 46% of the patients were in age range of 50-69 years followed by 40% patients in age range of 30- 49 years. Incidence of male were 18(36%) patients and female were 32(64%). 35(70%) patients were not addicted,9(18%) were addicted to tobacco alone,4(8%) patients were addicted to smoking alone, various others are addicted in combination. 47(94%) were metastatic bone disease, 3(6%) patients were primary wings sarcoma of spine. Majority of the patients were of breast cancer 20(40%), gynaecological cancer 8(16%), multiple myeloma and head and neck cancer each 6(12%) patients. Prostate cancer 4(8%), lung cancer 2(4%), renal cell cancer 1(2%) patient. Bony metastasis most common site were vertebra 16(32%), pelvis 12(24%), proximal femur 4(8%) cases. In combination group vertebra with pelvis 12(24%), vertebra with proximal femur 3(6%), proximal femur with pelvis 2(4%). Bony metastasis in 19(38%) patients cases was associated with spinal mas, In 11(22%) patients mass was pressing spinal nerve roots, in 8(16%) patients causing compression of spinal cord. 7(14%) patients had pathological fracture. Conclusion: pain caused by spinal metastasis is typically persistent and progressive not relieved by rest.Metastases may present as mechanical pain, radicular pain or weakness, or with myelopathy. Management of back pain in metastatic bone metastasis involve combination of pain based on specific patients, prognosis, neurological status, age, primary histopathology.
Authors and Affiliations
Dr Arvind Kumar
Keywords
Related Articles
- EP ID EP285445
- DOI -
- Views 59
- Downloads 0
Bilateral Primary Ovarian Hydatid Cysts – A Rare Occurence
Primary ovarian hydatid cyst involving bilateral ovaries is an exceedingly rare occurrence. Involvement of the ovaries in hydatid disease is often secondaryin nature as a consequence of peritoneal dissemination /lymphati...
Outcome analysis of endoscopic skull base surgery: An institutional experience
Endoscopic skull base surgery is one of the striking advancement in the field of Otolaryngology and Neurosurgery. It significantly improved the surgical outcome of the lesion of anterior skull base with minimum mortality...
Management of Various Bleeding Problems in Dental Patients: An Approach to Normal Hemostatic System and the Patient's Specific Coagulation Defect
Management of various bleeding problems in Dental patients is very critical issue in today clinical practice. Dentists must be conscious of the collision of bleeding disorders on the supervision of their patients. Proper...
Clinical-Etiological Profile of Patients with Splenomegaly in a Tertiary Care Centre
Introduction: Splenomegaly is an important sign of an underlying disorder and its etiology ranges from infectious disease to malignancy. Primary diseases of spleen are uncommon. Etiology of splenomegaly varies according...
Comparative Evaluation of CT Enterography and MR Enterography in Evaluation of Small Bowel Pathologies
Aims and objectives: 1) To study the role of CT Enterography and MR Enterography in diagnosing various small bowel diseases.2 )To compare the diagnostic significance of CT Enterography with MR Enterography 3)To evaluate...