The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(5):1298-1303.
악성 허리근 증후군으로 발현된 원발부위 불명의 전이성 편평세포암 1예
유태경·이설라·진상욱·박재현·김교영·이재진, , , , ,
A case of squamous carcinoma of unknown primary site manifested as malignant psoas syndrome
Tae Kyung Yu, Sul Ra Lee, Sang Ouk Chin, Jae Hyun Park, Gou Young Kim, Jae Jin Lee


Abstract
Malignancy of unknown origin is not unusual and has a poor prognosis. We report a case of metastatic squamous cell cancer to the psoas muscle and the lumbar spine as a malignancy of unknown origin, in which a metastatic survey had no definite primary focus. Based on the results of immunohistochemical staining, including for p63 and human herpes virus 8, we believed the origin of this metastatic squamous cell carcinoma to have been a uterine cervical cancer. Combined treatments, including cytoreductive surgery, cisplatin-based combination chemotherapy, and radiotherapy, were performed. The patient responded completely and has been alive for 20 months after the diagnosis. (Korean J Med 77:S1298-S1303, 2009)

Keywords :Unknown primary neoplasm, Psoas muscle, Squamous cell carcinoma, Uterine cervical cancer
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