Clinical Analysis of Patients of Lumbar Metastatic Tumor Misdiagnosed as Syndrome of Lumbar Disc Herniation

Jiang Feng; Bu Rui

Abstract：Objective To explore the reason why patients of Lumbar metastic tumor was misdiagnosed as syndrome of lumbar disc herniation,and improve the level of clinical treatment and reduce the rate of misdiagnosed. Methods This re-search enrolled 32 patients in standard between October 2008 and December 2014 in our hospital,who were diagnosed as syn-drome of lumbar disc Herniation at their initital diagnosis and as Lumbar metastic tumor at their final diagnosis. It was a retro-spective study of effective visit from the patients. Results Lumbocrural pain were the primory symptom for all cases. There were 11 cases of lung cancer,6 cases of breast cancer,4 cases of liver cancer,3 cases of pancreatic cancer,2 cases of esopha-geal cancer,1 cases of gastric cancer,1 cases of thyroid cancer,1 cases of prostate cancer. 3 cases had found no primary foci:1 cases of adenocarcinoma by pathological examination,1 cases eventually was identified as low differentiation adenocarcinoma of the lung adenoca by immunohistochemical and 1 case of unknown primary site. Conclusion In the diagnosis of lumbar Disc Herniation,if there was poor efficacy to reduce umbocrural pain by conservative treatment,necessary of clinic information col-lection,careful checking,comprehensive analysis and possibility of Lumbar metastatic tumor should be considered.