A case of refractory cancer pain by malignant psoas syndrome successfully treated with radiation therapy

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  • 放射線治療により良好な鎮痛を得た悪性腸腰筋症候群の1例
  • 症例 放射線治療により良好な鎮痛を得た悪性腸腰筋症候群の1例
  • ショウレイ ホウシャセン チリョウ ニ ヨリ リョウコウ ナ チンツウ オ エタ アクセイ チョウ ヨウキン ショウコウグン ノ 1レイ

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Malignant psoas syndrome (MPS) causes severe pain that is difficult to manage. We report a case of refractory cancer pain from malignant psoas syndrome successfully treated with radiation therapy in combination with analgesic agents. The patient was a 31-year-old female who had left-back pain 5 months before admission. She felt paresthesia in her left thigh and could not walk. CT detected enlargement of her cervix and a cyst on her left psoas muscle, and the pathology detected squamous cell carcinoma in her cervix and cyst. She was diagnosed with metastatic cervical cancer and malignant psoas syndrome, and treatment for refractory pain by a combination of analgesic agents and radiation therapy was successful. This case suggests that a combination of analgesic agents and radiation therapy may be effective for symptom relief of malignant psoas syndrome.

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