Colon adenocarcinoma first presenting as shoulder pain. Case report

Gonçalves, Isabel María Furtado Duarte Lobo; Díez-Alonso, Manuel; Moraza, José Ignacio Busteros; Álvarez, L. Jiménez

doi:10.1016/j.ijscr.2020.07.023

International Journal of Surgery Case Reports

2020

DOI: 10.1016/j.ijscr.2020.07.023

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Colon adenocarcinoma first presenting as shoulder pain. Case report

Isabel María Furtado Duarte Lobo Gonçalves

Manuel Díez-Alonso

José Ignacio Busteros Moraza

et al.

Abstract: Highlights CRC is one of the top causes of death in high-income countries. Colorectal primary tumours mostly disseminate to liver, lungs and peritoneum. Bone metastases rarely belong to the unique and curable metastases group of patients. Isolated colorectal cancer bone metastases are rare and usually associated with better prognosis. Careful study of the behaviour of rare types of colonic tumours is essential to progr… Show more

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2022

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A Rare but Sinister Cause of Shoulder Pain: A Case Report

Wang¹

2022

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BACKGROUND: Large cell neuroendocrine carcinoma (LCNEC) is a highly aggressive but rare cancer, especially when it first presents as shoulder pain. However, shoulder pain as a possible initial manifestation of lung cancer has been frequently reported. CASE PRESENTATION: An 84-year-old male, an ex-smoker, presented with left shoulder pain for two weeks. On examination, his clinical findings showed minor rotator cuff pathology and cervical spine degenerative changes. However, 6 months later, he was diagnosed of primary LCNEC lung cancer. CONCLUSION: The potential aetiologies of shoulder pain in a lung cancer case include: 1) Pain due to tumour invasion or supraclavicular lymph nodes compression of the brachial plexus; 2) Somatic referred pain due to stimulation of phrenic nerve or cervical structure; 3) Pain due to shoulder metastatic disease; 4) Radicular pain due to lower cervical nerve root impingement. Smoking and past cancer history should draw attention and lead to early investigations and regular follow-up reviews. Cautious interpretations of clinical examination and imaging findings are essential to increase diagnostic accuracy.

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A Rare but Sinister Cause of Shoulder Pain: A Case Report

Wang¹

2022

Preprint

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Colon adenocarcinoma first presenting as shoulder pain. Case report

Cited by 1 publication

References 10 publications

A Rare but Sinister Cause of Shoulder Pain: A Case Report

A Rare but Sinister Cause of Shoulder Pain: A Case Report

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