Reflex Sympathetic Dystrophy and Pancoast Tumor

Ang, W. L. Bertrand; Ho, Yvonne Y.

doi:10.1097/00003072-200410000-00008

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…In this report an unusual and different CRPS patient associated with hepatocellular carcinoma is reported. Similar reports related with malignancies like cases with colon carcinoma [7], lung carcinoma [8], pancreas carcinoma [9], lymphoma [10] and ovarian carcinoma [11] were previously presented but to the best of our knowledge, this is the first work that presents a CRPS patient associated with hepatocellular carcinoma.…”

Section: Introductionsupporting

confidence: 82%

Can hepatocellular carcinoma cause complex regional pain syndrome?

Yılmaz¹,

Dandinoglu²,

Dandin³

et al. 2016

Med-Science

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Complex regional pain syndrome (CRPS) is a disorder which has variable clinical manifestations. CRPS type I is characterized by an initiating noxious situation, like a crush or soft tissue injury; or by immobilization, such as a tight cast. CRPS type II is characterized by the existence of a defined nerve damage. Among widespread causative factors soft tissue traumas and fractures had been reported as the most common reason of CRPS. Primary pathologies of the central nervous system and malignancies would also be seen as a causative factor. Because of complex presentations in cancer patients, signs of CRPS may be unrecognised or misdiagnosed. These cases may present before malignancy or as a complication of primary neoplasia. In this report an unusual and different CRPS patient associated with hepatocellular carcinoma is presented.

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Section: Introductionsupporting

confidence: 82%

Can hepatocellular carcinoma cause complex regional pain syndrome?

Yılmaz¹,

Dandinoglu²,

Dandin³

et al. 2016

Med-Science

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“…Pancoast syndromes are commonly associated with CRPS. 11 , 13 , 14 A Pancoast tumor, also known as a superior pulmonary sulcus tumor, can cause CRPS by directly damaging the ipsilateral cervical and upper thoracic neurovascular bundle, as well as the cervico-thoracic sympathetic chain. 11 As a result, patients may develop CRPS either as a complication of direct tumor invasion following a cancer diagnosis or as a presenting symptom indicating undiagnosed cancer, occult recurrence, or metastasis, or even as a complication following tumor surgery in the cervico-thoracic area.…”

Section: Discussionmentioning

confidence: 99%

“…11 As a result, patients may develop CRPS either as a complication of direct tumor invasion following a cancer diagnosis or as a presenting symptom indicating undiagnosed cancer, occult recurrence, or metastasis, or even as a complication following tumor surgery in the cervico-thoracic area. 11 , 13 , 14 Olson W 14 reported a patient developed CRPS in the right upper extremity following surgery for a Pancoast tumor. Histological study revealed infiltration of the Pancoast tumor into the right stellate ganglion.…”

Section: Discussionmentioning

confidence: 99%

Complex Regional Pain Syndrome in Cancer Cases: Current Knowledge and Perspectives

Thanaboriboon,

Matos Macêdo,

Perez

2024

IMCRJ

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Background Complex regional pain syndrome (CRPS) is a disabling painful disorder caused by many different and poorly understood mechanisms. It often affects the distal limbs and usually happens as consequence of a trauma. Its severity can remarkably affect patients’ quality of life. When this painful complication happens in a cancer patient, the impact may be exponential. To date, there is limited knowledge of the surrounding circumstances of CRPS cases in this population. Methods We present two clinical cases of patients diagnosed with cancer-related pain presenting with symptoms and signs compatible with CRPS. In one case, CRPS was attributed to direct tumor nerve compression, and it responded successfully to an interventional pain procedure. The second case was associated with a Zoster infection in an immunocompromised cancer patient. Patient responded to multidisciplinary pain management strategies. Additionally, we conducted a literature review to investigate the coexistence of cancer pain and CRPS and suggest some pathophysiology mechanisms of action. Results and Discussion Literature reviewed and potential pathophysiology mechanisms are simultaneously explored in terms of classification, etiopathology, evidence, challenges, and future scientific directions. Conclusion Comorbid CRPS can impact negatively in cases of cancer pain by affecting their diagnosis and treatment. Further studies are necessary to elucidate how these two conditions present together and how they can be better addressed.

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Reflex Sympathetic Dystrophy and Pancoast Tumor

Cited by 2 publications

References 5 publications

Can hepatocellular carcinoma cause complex regional pain syndrome?

Can hepatocellular carcinoma cause complex regional pain syndrome?

Complex Regional Pain Syndrome in Cancer Cases: Current Knowledge and Perspectives

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