TY - JOUR
TI - Pancreatic cancer's initial presentation: back pain due to osteoblastic
bone metastasis
AU - Pneumaticos, S. G.
AU - Savidou, C.
AU - Korres, D. S.
AU - Chatziioannou,
AU - S. N.
JO - European Journal of Cancer Care
PY - 2010
VL - 19
TODO - 1
SP - 137-140
PB - WILEY-BLACKWELL PUBLISHING, INC
SN - 0961-5423, 1365-2354
TODO - 10.1111/j.1365-2354.2007.00920.x
TODO - pancreatic cancer; osteoblastic; bone metastasis
TODO - Pancreatic cancer may cause osteolytic metastases, but the osteoblastic
ones are extremely rare. In addition, it almost always presents with
symptoms related to the invasion of the structures in the abdomen.
Symptoms from bone metastases are rare and, if seen, are in the late
phase of the course. We present a case of cancer of the body of the
pancreas, which presented with severe back pain due to an osteoblastic
lesion to L3 vertebra. Biopsy of the vertebra led to the diagnosis.
Radiographs, computed tomography, magnetic resonance and scintigraphic
images as well as pathology slices are shown. The present case raises
the issue that pancreatic cancer, as a cause of an osteolytic bone
lesion, should not be overlooked in an unknown primary investigation.
ER -