Case Report:
A 64-year-old man, known case of Laryngeal cancer undergoing
Laryngectomy 12years ago was referred to our clinic with severe Pain at
Right inguinal region disabling him for walking. The pain was
exacerbating and started from 1 year ago. He had been evaluated by
different Specialists. He had taken many analgesics; however, none of
them had relieved his chief complaint. His family and social history
were insignificant. During physical examination, he had thoracolumbar
junction tenderness. Therefore, a lumbosacral plain radiography,
lumbosacral Computed Tomography (CT) [figure 1 ] and
Magnetic Resonance Imaging (MRI) [figure 2 ] scan was
performed. The imaging revealed that he had a L1 vertebral metastasis
with accompanying L1 root compression.
As a result, our patient was managed with L1 vertebral laminectomy and
root decompression. The spinal lesion was biopsied and sent for
pathology. Posterior instrumentation was performed to enhance the spinal
stability [figure 3 ]. Interestingly, the day after surgery
inguinal pain was relieved significantly and the patient succeeded to go
out of bed with a Thoracolumbosacral orthosis (TLSO). the pathology
reported metastatic adenocarcinoma showing papillary configuration with
pulmonary origin. Our patient was referred to a Radiotherapist for
further radiotherapy treatment. He visited our clinic regularly for
follow-up at 2 weeks, 6 weeks, 12 weeks 24 weeks and 1 year
postoperatively. After 1 year postoperatively, our patient ambulated
independently, his inguinal pain was relieved and had no operative
complication.