面部发自内脏的疼痛。

IF 0.2 4区医学 Q3 Medicine B-Ent Pub Date : 2004-01-01

P Demez, Y Goffart, J Daele

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引用次数: 0

摘要

简介:三叉区单侧面部疼痛已知是由肺上叶癌引起的。病例报告:65岁男性，重度吸烟者，表现为永久性耳痛和左侧下颌骨疼痛。这些症状不能由普通止痛药缓解。所有常见病因的探查均为阴性。在一次呼吸困难发作后，发现了左肺癌。由于放疗和化疗，病人的疼痛得到了改善。结论:牵涉性面部疼痛是罕见的，可由肺上叶肿瘤侵犯第十神经来解释。在大多数情况下，患者表现为右耳痛和V3区域疼痛。诊断可以在疼痛发作后1个月至4年延迟。由于肺癌的治疗，牵涉性面部疼痛得到改善。

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Facial pain from visceral origin.

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.

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来源期刊

B-Ent 医学-耳鼻喉科学

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

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.