후복막강 임파종에 의한 좌골신경통

Sciatica from Retroperitoneal Lymphoma

  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 이윤우 (연세대학교 의과대학 마취과학교실) ;
  • 박원선 (연세대학교 의과대학 마취과학교실) ;
  • 김원주 (연세대학교 의과대학 마취과학교실) ;
  • 김선희 (성남병원 마취과)
  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University, College of Medicine) ;
  • Lee, Youn-Woo (Department of Anesthesiology, Yonsei University, College of Medicine) ;
  • Bahk, Won-Seon (Department of Anesthesiology, Yonsei University, College of Medicine) ;
  • Kim, Won-Ju (Department of Anesthesiology, Yonsei University, College of Medicine) ;
  • Kim, Sun-Hee (Sung Nam Hospital)
  • 발행 : 1997.11.22

초록

Back pain with sciatica is a common clinical syndrome that may be the expression of an uncommon pathological process. We describe a case of retroperitoneal lymphoma mimicking herniated lumbar disc. 62 year old male patient with a clinical picture of sciatica as a first manifestation of retroperitoneal lymphoma. His pain was not response to conventional therapy, and progressively worsened. We reevaluated him and found huge retroperitoneal lymphoma in his pelvic cavity. So we discuss how to identify the few who had extra attention. It is important to rule out occult pathology in patient with an atypical presentation. In assessing a patient with a low back pain, accurate evaluation require a logical, step by step method.

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