K P Botwin1, P J Zak. 1. Florida Spine Institute, Clearwater, FL 34625, USA.
Abstract
STUDY DESIGN: A retrospective case report. OBJECTIVES: To increase awareness of the fact that very serious and potentially devastating conditions can be associated with lumbosacral radiculopathy. To reinforce the need to have a definitive diagnosis before performing epidural injections in patients with radicular pain who are not responsive to conservative treatment. SUMMARY OF BACKGROUND DATA: To the authors' knowledge, this is the first reported case of uterine leiomyosarcoma presenting with a lumbosacral radiculopathy. METHODS: The authors describe the treatment and the radiologic, surgical, and pathologic findings in this patient. RESULTS: Proper diagnostic work-up led to a diagnosis of metastatic uterine leiomyosarcoma, which was managed with decompressive laminectomy, radiotherapy, and chemotherapy. CONCLUSIONS: This is the first reported case of a uterine leiomyosarcoma presenting with radicular pain. When a patient has not responded to conservative care, a definitive etiology for radiculopathy needs to be established before epidural steroid injection.
STUDY DESIGN: A retrospective case report. OBJECTIVES: To increase awareness of the fact that very serious and potentially devastating conditions can be associated with lumbosacral radiculopathy. To reinforce the need to have a definitive diagnosis before performing epidural injections in patients with radicular pain who are not responsive to conservative treatment. SUMMARY OF BACKGROUND DATA: To the authors' knowledge, this is the first reported case of uterine leiomyosarcoma presenting with a lumbosacral radiculopathy. METHODS: The authors describe the treatment and the radiologic, surgical, and pathologic findings in this patient. RESULTS: Proper diagnostic work-up led to a diagnosis of metastatic uterine leiomyosarcoma, which was managed with decompressive laminectomy, radiotherapy, and chemotherapy. CONCLUSIONS: This is the first reported case of a uterine leiomyosarcoma presenting with radicular pain. When a patient has not responded to conservative care, a definitive etiology for radiculopathy needs to be established before epidural steroid injection.
Authors: J M O'Brien; D D Brennan; D H Taylor; D P Holloway; B Hurson; J C O'Keane; S J Eustace Journal: Skeletal Radiol Date: 2004-05-04 Impact factor: 2.199