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Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers

Patient: Male, 60-year-old Final Diagnosis: Lung cancer Symptoms: Shoulder pain Medication:— Clinical Procedure: — Specialty: Oncology • Pulmonology OBJECTIVE: Mistake in diagnosis BACKGROUND: Shoulder pain is a common complaint in general practice and typically has an orthopedic or rheumatological...

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Autores principales: Shammari, Malak Al, Hassan, Ali, Jawad, Mahdi Al, Farea, Abdulaziz, Almansour, Abdulelah, Yousif, Ghada Al, Sebiany, Abdulaziz, Bakr, Zahia Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508304/
https://www.ncbi.nlm.nih.gov/pubmed/32913177
http://dx.doi.org/10.12659/AJCR.926643
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author Shammari, Malak Al
Hassan, Ali
Jawad, Mahdi Al
Farea, Abdulaziz
Almansour, Abdulelah
Yousif, Ghada Al
Sebiany, Abdulaziz
Bakr, Zahia Bin
author_facet Shammari, Malak Al
Hassan, Ali
Jawad, Mahdi Al
Farea, Abdulaziz
Almansour, Abdulelah
Yousif, Ghada Al
Sebiany, Abdulaziz
Bakr, Zahia Bin
author_sort Shammari, Malak Al
collection PubMed
description Patient: Male, 60-year-old Final Diagnosis: Lung cancer Symptoms: Shoulder pain Medication:— Clinical Procedure: — Specialty: Oncology • Pulmonology OBJECTIVE: Mistake in diagnosis BACKGROUND: Shoulder pain is a common complaint in general practice and typically has an orthopedic or rheumatological etiology. However, it may be the presenting symptom of a serious underlying condition, such as lung cancer. CASE REPORT: A 60-year-old man with a 30 pack-year history of smoking presented with worsening right shoulder pain over the last 6 months. He had no respiratory symptoms or weight change. He was seen at several general practice clinics and treated for a rotator cuff injury. However, his pain became severe, to the point that it affected his activities of daily living. A shoulder X-ray revealed opacity in the right apical zone. After a thorough investigation, the patient was found to have lung cancer with local invasion and intracranial metastases. However, in light of the advanced stage of the disease, a palliative approach was taken. The patient remained on multiple oral analgesics for the control of his pain. CONCLUSIONS: The present case shows that common symptoms such as shoulder pain can be indicative of serious underlying pathology. Physicians should remain alert and maintain a high index of suspicion for Pancoast tumor in patients who are heavy smokers. Furthermore, a chest X-ray needs to be performed in elderly patients and smokers with shoulder pain.
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spelling pubmed-75083042020-10-02 Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers Shammari, Malak Al Hassan, Ali Jawad, Mahdi Al Farea, Abdulaziz Almansour, Abdulelah Yousif, Ghada Al Sebiany, Abdulaziz Bakr, Zahia Bin Am J Case Rep Articles Patient: Male, 60-year-old Final Diagnosis: Lung cancer Symptoms: Shoulder pain Medication:— Clinical Procedure: — Specialty: Oncology • Pulmonology OBJECTIVE: Mistake in diagnosis BACKGROUND: Shoulder pain is a common complaint in general practice and typically has an orthopedic or rheumatological etiology. However, it may be the presenting symptom of a serious underlying condition, such as lung cancer. CASE REPORT: A 60-year-old man with a 30 pack-year history of smoking presented with worsening right shoulder pain over the last 6 months. He had no respiratory symptoms or weight change. He was seen at several general practice clinics and treated for a rotator cuff injury. However, his pain became severe, to the point that it affected his activities of daily living. A shoulder X-ray revealed opacity in the right apical zone. After a thorough investigation, the patient was found to have lung cancer with local invasion and intracranial metastases. However, in light of the advanced stage of the disease, a palliative approach was taken. The patient remained on multiple oral analgesics for the control of his pain. CONCLUSIONS: The present case shows that common symptoms such as shoulder pain can be indicative of serious underlying pathology. Physicians should remain alert and maintain a high index of suspicion for Pancoast tumor in patients who are heavy smokers. Furthermore, a chest X-ray needs to be performed in elderly patients and smokers with shoulder pain. International Scientific Literature, Inc. 2020-09-11 /pmc/articles/PMC7508304/ /pubmed/32913177 http://dx.doi.org/10.12659/AJCR.926643 Text en © Am J Case Rep, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Shammari, Malak Al
Hassan, Ali
Jawad, Mahdi Al
Farea, Abdulaziz
Almansour, Abdulelah
Yousif, Ghada Al
Sebiany, Abdulaziz
Bakr, Zahia Bin
Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers
title Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers
title_full Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers
title_fullStr Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers
title_full_unstemmed Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers
title_short Pancoast Tumor: The Overlooked Etiology of Shoulder Pain in Smokers
title_sort pancoast tumor: the overlooked etiology of shoulder pain in smokers
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508304/
https://www.ncbi.nlm.nih.gov/pubmed/32913177
http://dx.doi.org/10.12659/AJCR.926643
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