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Lung cancer metastasis to the scapula and spine: a case report.

Demetrious J, Demetrious GJ - Chiropr Osteopat (2008)

Bottom Line: The patient was referred to his primary care physician for immediate medical care.Diagnostic images are included in this case to provide a comprehensive depiction of the scope of the patient's disease.It is important to recognize that primary lung cancer may be unidentified, and musculoskeletal symptoms may reflect the first sign of primary or metastatic pulmonary disease.

View Article: PubMed Central - HTML - PubMed

Affiliation: New York Chiropractic College, Seneca Falls, NY, USA. jdemetrdc@aol.com

ABSTRACT

Background: The objective of this case report is to describe the clinical presentation of a patient who complained of shoulder pain and was diagnosed with carcinoma of the scapula and spine that metastasized from the lung.

Case presentation: A 76-year-old man without a history of cancer sought chiropractic care for right shoulder pain. Careful evaluation, radiographs, and subsequent imaging revealed primary and metastatic lung cancer. The patient was referred to his primary care physician for immediate medical care. Diagnostic images are included in this case to provide a comprehensive depiction of the scope of the patient's disease.

Conclusion: Musculoskeletal symptoms are commonly encountered in chiropractic practice. It is important to recognize that primary lung cancer may be unidentified, and musculoskeletal symptoms may reflect the first sign of primary or metastatic pulmonary disease. Thoughtful evaluative procedure and clinical decision making, combined with the use of appropriate diagnostic tests may allow timely identification of primary or metastatic disease.

No MeSH data available.


Related in: MedlinePlus

AP radiograph of the right scapula reveals a focal indistinct lucency and lytic destruction of the lateral scapular cortical margin.
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Figure 1: AP radiograph of the right scapula reveals a focal indistinct lucency and lytic destruction of the lateral scapular cortical margin.

Mentions: Plain film radiographs of the right shoulder (AP with internal and external rotation views) and thoracic spine (AP and lateral views) were performed. Disruption of the cortical margin of the lateral border of the right scapula was noted as evidenced by an indistinct lucency (see Figure 1). In addition, a suspicious mass was noted in the hilar region of the right lung. Complete loss of the right hilar vascular detail secondary to the tumor mass effect were noted with visualized subsegmental infiltrate densities. No evidence of pleural effusion was noted.


Lung cancer metastasis to the scapula and spine: a case report.

Demetrious J, Demetrious GJ - Chiropr Osteopat (2008)

AP radiograph of the right scapula reveals a focal indistinct lucency and lytic destruction of the lateral scapular cortical margin.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2533337&req=5

Figure 1: AP radiograph of the right scapula reveals a focal indistinct lucency and lytic destruction of the lateral scapular cortical margin.
Mentions: Plain film radiographs of the right shoulder (AP with internal and external rotation views) and thoracic spine (AP and lateral views) were performed. Disruption of the cortical margin of the lateral border of the right scapula was noted as evidenced by an indistinct lucency (see Figure 1). In addition, a suspicious mass was noted in the hilar region of the right lung. Complete loss of the right hilar vascular detail secondary to the tumor mass effect were noted with visualized subsegmental infiltrate densities. No evidence of pleural effusion was noted.

Bottom Line: The patient was referred to his primary care physician for immediate medical care.Diagnostic images are included in this case to provide a comprehensive depiction of the scope of the patient's disease.It is important to recognize that primary lung cancer may be unidentified, and musculoskeletal symptoms may reflect the first sign of primary or metastatic pulmonary disease.

View Article: PubMed Central - HTML - PubMed

Affiliation: New York Chiropractic College, Seneca Falls, NY, USA. jdemetrdc@aol.com

ABSTRACT

Background: The objective of this case report is to describe the clinical presentation of a patient who complained of shoulder pain and was diagnosed with carcinoma of the scapula and spine that metastasized from the lung.

Case presentation: A 76-year-old man without a history of cancer sought chiropractic care for right shoulder pain. Careful evaluation, radiographs, and subsequent imaging revealed primary and metastatic lung cancer. The patient was referred to his primary care physician for immediate medical care. Diagnostic images are included in this case to provide a comprehensive depiction of the scope of the patient's disease.

Conclusion: Musculoskeletal symptoms are commonly encountered in chiropractic practice. It is important to recognize that primary lung cancer may be unidentified, and musculoskeletal symptoms may reflect the first sign of primary or metastatic pulmonary disease. Thoughtful evaluative procedure and clinical decision making, combined with the use of appropriate diagnostic tests may allow timely identification of primary or metastatic disease.

No MeSH data available.


Related in: MedlinePlus