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目的提高对恶性肿瘤的风湿症样表现的认识和识别能力。方法对以骨关节肌肉疼痛为首发表现的28例癌性风湿症患者的临床资料进行分析。结果28例癌性疼痛性质为隐痛、胀痛,逐渐加重,慢性反复发作;以非甾体抗炎药、糖皮质激素治疗疗效不佳。切除癌肿后疼痛缓解;引起癌性疼痛的肿瘤类型及分布部位均较广,临床误诊率高。结论临床医生对骨关节肌肉疼痛与肿瘤的相关性认识不够,常忽视肿瘤的存在。因此,对出现骨关节肌肉疼痛的患者,若排除了结缔组织病,对≥60岁者,对一般非甾体抗炎药、糖皮质激素疗效差者,应注意排查恶性肿瘤的可能。
Objective To improve the understanding and recognition of rheumatic symptoms of malignant tumors. Methods The clinical data of 28 patients with cancerous rheumatism, the first manifestation of musculoskeletal pain, were analyzed. Results The malignant pain in 28 cases was painful, painful and gradually aggravating. Chronic recurrent seizures were made. Non-steroidal anti-inflammatory drugs and glucocorticoid were not effective. Excision of cancer pain relief; cause cancer pain and the distribution of tumor types are wide, clinical misdiagnosis rate. Conclusion Clinicians do not know enough about the correlation between muscular pain and tumor in bone and joint, and often ignore the existence of tumor. Therefore, patients with bone and joint muscle pain, if the exclusion of connective tissue disease, for ≥ 60 years of age, the general non-steroidal anti-inflammatory drugs, glucocorticoid poor efficacy, should pay attention to the possibility of troubleshooting of malignant tumors.