Chronic lower back pain due to sarcoma

We describe a 74-year-old woman with extensive pelvic leiomyosarcoma presenting with uncharacteristic musculoskeletal pain of the lumbosacral region and left lower extremity. Hemipelvectomy was considered the treatment of choice, and a model for a pelvic prosthesis was constructed based on imaging a...

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Bibliographic Details
Published in:	Clinical and experimental rheumatology Vol. 16; no. 3; p. 309
Main Authors:	Hueber, W, Dominkus, M, Vesely, M, Mendel, M, Kotz, R, Czembirek, H, Smolen, J S
Format:	Journal Article
Language:	English
Published:	Italy 01-05-1998
Subjects:	Aged Chronic Disease Embolization, Therapeutic Female Hip Prosthesis Humans Leiomyosarcoma - complications Leiomyosarcoma - diagnostic imaging Leiomyosarcoma - surgery Low Back Pain - diagnostic imaging Low Back Pain - etiology Lumbosacral Region - blood supply Lumbosacral Region - diagnostic imaging Pelvis Tomography, X-Ray Computed
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Summary:	We describe a 74-year-old woman with extensive pelvic leiomyosarcoma presenting with uncharacteristic musculoskeletal pain of the lumbosacral region and left lower extremity. Hemipelvectomy was considered the treatment of choice, and a model for a pelvic prosthesis was constructed based on imaging analysis. However, the tumour (and the complaints) responded surprisingly well to a combined treatment regimen including superselective arterial catheter embolization, which led to tumour regression to such a degree that aggressive surgical treatment became unnecessary.
ISSN:	0392-856X