頸髓原發(fā)性惡性黑色素瘤一例
發(fā)布時間:2018-05-01 03:20
本文選題:惡性黑色素瘤 + 頸部左側(cè); 參考:《臨床放射學(xué)雜志》2017年03期
【摘要】:正患者女,59歲。3個月前無明顯誘因出現(xiàn)左上肢麻木,無發(fā)熱、惡心、頭痛、頭暈等癥狀。2周前患者左上肢麻木癥狀加重,伴頸部左側(cè)疼痛,站立位持續(xù)性鈍痛,無放射性痛,平臥位好轉(zhuǎn),于當(dāng)?shù)蒯t(yī)院按"頸椎病"治療,具體不詳,患者癥狀未見好轉(zhuǎn)。2天前外院MRI檢查提示"C_(1~2)椎體后方頸髓占位"。體檢:全身皮膚及黏膜未見黑色素瘤樣病變,四肢肌力Ⅳ級,病理征陰性。
[Abstract]:There were no obvious inducements for left upper limb numbness, no fever, nausea, headache, dizziness and other symptoms. 2 weeks ago, the left upper limb numbness was aggravated, accompanied by left neck pain, persistent blunt pain in standing position, and no radioactivity pain. The supine position was improved and treated by "cervical spondylosis" in local hospital. The specific condition was unknown. The MRI examination of the patient did not show any improvement 2 days ago, indicating that "Che 1 / 2) cervical spinal cord occupies the posterior position of the vertebral body". Physical examination: no melanoma-like lesions were found in the skin and mucous membrane of the whole body, the muscle strength of the limbs was grade 鈪,
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