Rheumatic syndromes and occult tumor: 10-year experience in a teaching hospital
To describe the different clinical characteristics of patients admitted to the Rheumatology Department due to rheumatic manifestations as the first expression of an unknown malignant process. Retrospective and descriptive observational study involving the review of the medical records of those admit...
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Published in | Reumatologia clinica Vol. 16; no. 1; pp. 42 - 44 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English Spanish |
Published |
Spain
01.01.2020
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Abstract | To describe the different clinical characteristics of patients admitted to the Rheumatology Department due to rheumatic manifestations as the first expression of an unknown malignant process.
Retrospective and descriptive observational study involving the review of the medical records of those admitted to rheumatology in the University Hospital of Ciudad Real between January 2007 and August 2017 for initial rheumatic manifestations with a suspicion at discharge of an unknown tumor.
In all, 64 patients were identified from more than 500 admissions. The most common rheumatic manifestations were inflammatory low back pain, polyarthralgia, hip pain, thoracic spine pain, cervical pain, polyarthritis and polymyalgia rheumatica. Forty-four percent had low hemoglobin, 70% had elevation of acute-phase reactants, 62% had abnormal tumor markers, 76% had metastatic lesions. In 20% the primary tumor was of pulmonary origin and only 26.56% received palliative treatment; 64% died.
It is important to consider the possibility of an underlying malignant process in the differential diagnosis since its early identification can be determinant for prognosis. |
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AbstractList | To describe the different clinical characteristics of patients admitted to the Rheumatology Department due to rheumatic manifestations as the first expression of an unknown malignant process.
Retrospective and descriptive observational study involving the review of the medical records of those admitted to rheumatology in the University Hospital of Ciudad Real between January 2007 and August 2017 for initial rheumatic manifestations with a suspicion at discharge of an unknown tumor.
In all, 64 patients were identified from more than 500 admissions. The most common rheumatic manifestations were inflammatory low back pain, polyarthralgia, hip pain, thoracic spine pain, cervical pain, polyarthritis and polymyalgia rheumatica. Forty-four percent had low hemoglobin, 70% had elevation of acute-phase reactants, 62% had abnormal tumor markers, 76% had metastatic lesions. In 20% the primary tumor was of pulmonary origin and only 26.56% received palliative treatment; 64% died.
It is important to consider the possibility of an underlying malignant process in the differential diagnosis since its early identification can be determinant for prognosis. OBJECTIVETo describe the different clinical characteristics of patients admitted to the Rheumatology Department due to rheumatic manifestations as the first expression of an unknown malignant process. PATIENTS AND METHODSRetrospective and descriptive observational study involving the review of the medical records of those admitted to rheumatology in the University Hospital of Ciudad Real between January 2007 and August 2017 for initial rheumatic manifestations with a suspicion at discharge of an unknown tumor. RESULTSIn all, 64 patients were identified from more than 500 admissions. The most common rheumatic manifestations were inflammatory low back pain, polyarthralgia, hip pain, thoracic spine pain, cervical pain, polyarthritis and polymyalgia rheumatica. Forty-four percent had low hemoglobin, 70% had elevation of acute-phase reactants, 62% had abnormal tumor markers, 76% had metastatic lesions. In 20% the primary tumor was of pulmonary origin and only 26.56% received palliative treatment; 64% died. DISCUSSIONIt is important to consider the possibility of an underlying malignant process in the differential diagnosis since its early identification can be determinant for prognosis. |
Author | Cuadra Díaz, José Luis Arenal López, Rocío Rebollo Giménez, Ana Isabel Ramírez Huaranga, Marco Aurelio Castro Corredor, David |
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Keywords | Hidden tumor Prognosis Pronóstico Tumor oculto Manifestaciones reumáticas Diagnóstico diferencial Differential diagnosis Rheumatic manifestations |
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SubjectTerms | Acute-Phase Proteins - analysis Aged Anemia - etiology Arthralgia - etiology Arthritis - etiology Biomarkers, Tumor - blood Female Hospitals, University Humans Low Back Pain - etiology Male Neck Pain - etiology Neoplasms, Unknown Primary - blood Neoplasms, Unknown Primary - complications Neoplasms, Unknown Primary - diagnosis Neoplasms, Unknown Primary - mortality Polymyalgia Rheumatica - etiology Retrospective Studies Rheumatic Diseases - blood Rheumatic Diseases - etiology Syndrome Time Factors |
Title | Rheumatic syndromes and occult tumor: 10-year experience in a teaching hospital |
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