Bladder metastasis presenting as neck, arm and thorax pain: a case report

BACKGROUND: A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed. CASE PRESENT...

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Detalles Bibliográficos
Autores principales: Daniels, Clinton J., Wakefield, Pamela J., Bub, Glenn A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855475/
https://www.ncbi.nlm.nih.gov/pubmed/27148441
http://dx.doi.org/10.1186/s12998-016-0097-8
Descripción
Sumario:BACKGROUND: A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed. CASE PRESENTATION: This patient presented in November 2014 with progressive neck, thorax and upper extremity pain. Computed tomography revealed a destructive soft tissue mass in the cervical spine and additional lytic lesion of the 1st rib. Prompt referral was made for surgical consultation and medical management. CONCLUSION: Distant metastasis is rare, but can present as a musculoskeletal complaint. History of carcinoma should alert the treating chiropractic physician to potential for serious disease processes.

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