J Korean Pain Soc.  2004 Dec;17(2):322-325. 10.3344/jkps.2004.17.2.322.

Malignant Pelvic Bone Tumor Mimicking the Herniated Intervertebral Lumbar Disc Symptom: A case report

• Park JH
• Huh JS
• Kwon MA
• Kim TH
• Shim WS

• KMID: 2104883
• DOI: http://doi.org/10.3344/jkps.2004.17.2.322

Abstract

A pelvic bone tumor may produce symptoms such as a herniated intervertebral lumbar disc if it invades the sacrum and sacro-iliac joint. Diagnosis is not always easy, and misdiagnosis due to nerve root compression of the pelvic bone tumor may occur. Herein, the case of a 61-year-old patient, whose diagnosis was more difficult than for a herniated intervertebral lumbar disc due to a lack of symptoms usually associated with malignancy, is described. Unfortunately, the patient underwent an operation for the suspected herniated discs. In such cases, the correct diagnosis often can not be made on the first attempt. In conclusion, it must be remembered that patients who do not respond to the usual forms of treatment in a reasonable period of time should be re-examined both clinically and radiographically.

Keyword

herniated intervertebral disc; misdiagnosis; pelvic bone tumor

MeSH Terms

Diagnosis
Diagnostic Errors
Humans
Intervertebral Disc Displacement
Joints
Middle Aged
Pelvic Bones*
Radiculopathy
Sacrum