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Benign and Malignant Tumors Detected in the Patients with Intractable Chest Pain -2 case reports-  

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)
Publication Information
The Korean Journal of Pain / v.18, no.2, 2005 , pp. 255-258 More about this Journal
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
back pain; chest pain; mesothelioma; schwannoma; spinal cord neoplasms;
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