Differential Diagnosis of Cheat Pain through a Von Hippel-Lindau Syndrome Patient with Chest Pain as the First Symptom
HUANG Xue-hua
LUO Yong
MA Ke
FAN Ying-hui
WANG Pei-liang
MEI Ling
Abstract：Objective To improve diagnostic awareness of spinal tumor with chest pain as the first symptom. Meth-ods Clinical data of a Von Hippel-Lindau (VHL) syndrome patient with chest pain as the first symptom was retrospectively analyzed. Results The patient had a history of diabetes mellitus and hypertensive disease for many years, and visited a doc-tor for bilateral chest and latus twinges for two weeks. The patient visited 7 departments. Abdominal CT scan showed several cysts in pancreas, part with mottling hyperdense shadow and multiple cystic changes in both kidneys. Myeloid occupying le-sion was found by magnetic resonance imaging (MIR) examination. Spinal tumor was preliminarily diagnosed after history ask-ing and surgical ablation. Spinal hemangiobulastoma was confirmed by postoperative pathological examination, and VHL syn-drome was confirmed after comprehensive analysis of the conditions. The patient was discharged, and did not have chest pain with follow-up for half a year. Conclusion Pars thoracica medullae spinalis tumors may induce single or bilateral chest pain of compression nerves, and clinicians should consider pars thoracica medullae spinalis tumors in differential diagnosis of chest pain.
Keywords：HemangioblastomaChest painMisdiagnosisDiagnosisdifferential
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 26-28 )