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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2020
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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. |
format | Online Article Text |
id | pubmed-7508304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
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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