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KMID : 0363120110240040226
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Korean Journal of Pain
2011 Volume.24 No. 4 p.226 ~ p.230
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Lumbar Plexopathy Caused by Metastatic Tumor, Which Was Mistaken for Postoperative Femoral Neuropathy
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Lee Ki-Hwa
Choe Ji-Hyun
Lee Sang-Eun
Park Jae-Hong
Bang Si-Ra
Kim Yong-Han
Jeon Sang-Yoon
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Abstract
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Surgical excision was performed on a 30-years old woman with a painful mass on her left thigh. The pathologic findings on the mass indicated fibromatosis. After the operation, she complained of allodynia and spontaneous pain at the operation site and ipsilateral lower leg. We treated her based on postoperative femoral neuropathy, but symptom was aggravated. We found a large liposarcoma in her left iliopsoas muscle which compressed the lumbar plexus. In conclusion, the cause of pain was lumbar plexopathy related to a mass in the left iliopsoas muscle. Prompt diagnosis of acute neuropathic pain after an operation is important and management must be based on exact causes.
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KEYWORD
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fibromatosis, liposarcoma, neuropathic pain
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