Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Chest Pain due to Rapidly Developed Metastatic Spinal Tumor - A case report -

급속도로 진행된 전이성 척추종양에 의한 흉통

  • Lee, Jun-Hak (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Kim, Hyung-Tae (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Mun, Cheol-Sin (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Heo, Hyeon-Eon (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center) ;
  • Kwon, Young-Eun (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
  • 이준학 (전주예수병원 마취통증의학과) ;
  • 김형태 (전주예수병원 마취통증의학과) ;
  • 문철신 (전주예수병원 마취통증의학과) ;
  • 허현언 (전주예수병원 마취통증의학과) ;
  • 권영은 (전주예수병원 마취통증의학과)
  • Published : 2009.06.01
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Abstract

Chest pain is a symptom observed commonly in outpatients and emergency room patients, and its causes are variable. Because treatment and prognosis of chest pain are different depending on its cause, it is more important than anything else to accurately diagnose the cause of chest pain. Most of patients complaining of chest pain undergo basic tests at a private local clinic or at the Internal medicine or chest surgery department of a general hospital and, they are referred to the pain clinic, with a note stating no particular finding. However, if they have sustained severe neuropathic pain in spite of nerve block, accurate diagnosis for chest pain is essential. We experienced rapidly developing spine breakdown and cord compression caused by metastatic spinal tumor in an inpatient who was being treated for chest pain, and thus, we report here in the case with literature review.

흉통은 외래 및 응급실에서 볼 수 있는 흔한 증상으로 그 원인 또한 다양하다. 또한 흉통의 원인에 따라 치료와 예후가 다르기 때문에 흉통의 원인을 정확히 진단하는 것은 무엇보다 중요하다. 흉통을 호소하는 환자들 중 대부분은 개인병원, 종합병원의 내과, 흉부외과 등을 거쳐 기본적인 검사를 실시하고 특별한 이상이 없다고 진단 받고 통증클리닉으로 보내지는 경우가 많지만, 최근에 다른 과를 거치지 않고 직접 통증클리닉을 찾는 환자가 많아짐을 고려할 때 정확한 진단이 필수적이다 하겠다. 본원에 흉통을 주소로 입원치료 중에 있던 환자에서 전이성 척추종양에 의해 급속도로 진행된 척추파괴 및 척수압박 증상을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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