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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

MRI sagittal T1WI reveals scattered foci of decreased signal intensity reflective of metastatic disease affecting the thoraco-lumbar spine.
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Figure 7: MRI sagittal T1WI reveals scattered foci of decreased signal intensity reflective of metastatic disease affecting the thoraco-lumbar spine.

Mentions: Subsequent bone scintigraphy revealed abnormal increased accumulation of radiopharmaceutical along the lateral aspect of the right scapula (see Figure 5). MRI evaluation revealed additional metastatic foci including the cervical, thoracic and lumbar spinal regions as evidenced by multiple regions of decreased signal intensity are visualized on T1 weighted images (see Figures 6 and 7). Biopsy confirmed a primary lung carcinoma origin. Unfortunately, the patient succumbed to the disease within 3 months of its diagnosis.


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

Demetrious J, Demetrious GJ - Chiropr Osteopat (2008)

MRI sagittal T1WI reveals scattered foci of decreased signal intensity reflective of metastatic disease affecting the thoraco-lumbar spine.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 7: MRI sagittal T1WI reveals scattered foci of decreased signal intensity reflective of metastatic disease affecting the thoraco-lumbar spine.
Mentions: Subsequent bone scintigraphy revealed abnormal increased accumulation of radiopharmaceutical along the lateral aspect of the right scapula (see Figure 5). MRI evaluation revealed additional metastatic foci including the cervical, thoracic and lumbar spinal regions as evidenced by multiple regions of decreased signal intensity are visualized on T1 weighted images (see Figures 6 and 7). Biopsy confirmed a primary lung carcinoma origin. Unfortunately, the patient succumbed to the disease within 3 months of its diagnosis.

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