{"title":"面部发自内脏的疼痛。","authors":"P Demez, Y Goffart, J Daele","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Unilateral facial pain in the trigeminal area is known to be caused by a cancer in the superior lobe of the lung.</p><p><strong>Case report: </strong>A 65 year old male, heavy smoker, presented a permanent otalgia and a mandibular pain on the left side. These symptoms could not be relieved by common analgesics. All explorations for common etiologies were negative. After an episode of dyspnea, a left lung cancer was discovered. Thanks to radiotherapy and chemotherapy, the patient's pain was improved.</p><p><strong>Conclusion: </strong>Referred facial pain is rare and can be explained by the invasion of the tenth nerve by an upper lobe lung tumor. In most cases, the patient presents a right otalgia and pain in the area of V3. The diagnosis can be delayed from 1 month to 4 years after the onset of the pain. Referred facial pain is improved by the treatment of the causal lung cancer.</p>","PeriodicalId":55407,"journal":{"name":"B-Ent","volume":"58 4","pages":"141-2"},"PeriodicalIF":0.2000,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Facial pain from visceral origin.\",\"authors\":\"P Demez, Y Goffart, J Daele\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Unilateral facial pain in the trigeminal area is known to be caused by a cancer in the superior lobe of the lung.</p><p><strong>Case report: </strong>A 65 year old male, heavy smoker, presented a permanent otalgia and a mandibular pain on the left side. These symptoms could not be relieved by common analgesics. All explorations for common etiologies were negative. After an episode of dyspnea, a left lung cancer was discovered. Thanks to radiotherapy and chemotherapy, the patient's pain was improved.</p><p><strong>Conclusion: </strong>Referred facial pain is rare and can be explained by the invasion of the tenth nerve by an upper lobe lung tumor. In most cases, the patient presents a right otalgia and pain in the area of V3. The diagnosis can be delayed from 1 month to 4 years after the onset of the pain. Referred facial pain is improved by the treatment of the causal lung cancer.</p>\",\"PeriodicalId\":55407,\"journal\":{\"name\":\"B-Ent\",\"volume\":\"58 4\",\"pages\":\"141-2\"},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2004-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"B-Ent\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"B-Ent","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Introduction: Unilateral facial pain in the trigeminal area is known to be caused by a cancer in the superior lobe of the lung.
Case report: A 65 year old male, heavy smoker, presented a permanent otalgia and a mandibular pain on the left side. These symptoms could not be relieved by common analgesics. All explorations for common etiologies were negative. After an episode of dyspnea, a left lung cancer was discovered. Thanks to radiotherapy and chemotherapy, the patient's pain was improved.
Conclusion: Referred facial pain is rare and can be explained by the invasion of the tenth nerve by an upper lobe lung tumor. In most cases, the patient presents a right otalgia and pain in the area of V3. The diagnosis can be delayed from 1 month to 4 years after the onset of the pain. Referred facial pain is improved by the treatment of the causal lung cancer.
期刊介绍：
Throughout its history, the Royal Belgian Society of Oto-rhino-laryngology, Head and Neck Surgery, the home society of B-ENT, aims to disseminate both the scientific and the clinical knowledge of otorhinolaryngology field primarily in Belgium and its regions. In accordance with this aim, publishing a scientific journal has become the number one objective of the Society. Accordingly, B-ENT contributes to the scientific memory of Belgium considering its deep-rooted history.
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