【转移性梅克尔洞穴瘤(胰腺癌)1例,表现为脸颊麻木综合征】。

Q4 Medicine
Fujio Umehara
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引用次数: 0

摘要

案例:一位70多岁的女士。5月体检时发现胰腺肿瘤,到我院消化内科就诊。她没有主观症状,但她被诊断为原发性胰腺癌和多发性骨转移。她正在接受门诊化疗。同年11月,患者感到右侧脸颊麻木,转至我科就诊。神经学上,右三叉神经第二支区感觉异常。头部CT /MRI示右侧Meckel穴内肿块病变,FDG-PET示右侧Meckel穴内多发骨病变及异常堆积。在此基础上,我们诊断该患者为胰腺癌转移至Meckel's cave所致的麻木脸颊综合征。神经科医生应该意识到麻木的脸颊综合征可以发生与潜在的恶性肿瘤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A case of metastatic Meckel's cave tumor (pancreatic cancer) presenting with Numb cheek syndrome].

Case: A woman in her 70s. In May, a pancreatic tumor was detected during a medical checkup, and she visited the Department of Gastroenterology of our hospital. She had no subjective symptoms, but she was diagnosed with primary pancreatic cancer and multiple bone metastases. She was undergoing outpatient chemotherapy. In November of the same year, she became aware of numbness in the right cheek area and was referred to our department. Neurologically, abnormal sensation in the area of the second branch of the right trigeminal nerve was observed. Head computed tomography (CT)/MRI showed a mass lesion in the right Meckel's cave, and FDG-PET showed multiple bone lesions as well as abnormal accumulation in the right Meckel's cave. Based on the above, we diagnosed the patient with numb cheek syndrome due to metastasis of pancreatic cancer to Meckel's cave. Neurologists should be aware that numb cheek syndrome can occur in association with an underlying malignancy.

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来源期刊
Clinical Neurology
Clinical Neurology Medicine-Neurology (clinical)
CiteScore
0.30
自引率
0.00%
发文量
147
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