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Báo cáo y học: "Lung cancer metastasis to the scapula and spine: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Lung cancer metastasis to the scapula and spine: a case report. | Chiropractic Osteopathy BioMed Central Open Access Case report Lung cancer metastasis to the scapula and spine a case report James Demetrious 1 2 and Gregory J Demetrious3 Address 1 Private practice Wilmington NC USA 2Post-graduate faculty New York Chiropractic College Seneca Falls NY USA and 3Private practice Wilmington NC USA Email James Demetrious - jdemetrdc@aol.com Gregory J Demetrious - gdemetrious@bellsouth.net Corresponding author Published 12 August 2008 Received 29 June 2008 Chiropractic Osteopathy 2008 16 8 doi 10.1186 1746-1340-16-8 Accepted 12 August 2008 This article is available from http www.chiroandosteo.cOm content 16 1 8 2008 Demetrious and Demetrious licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The objective of this case report is to describe the clinical presentation of a patient who complained of shoulder pain and was diagnosed with carcinoma of the scapula and spine that metastasized from the lung. Case presentation A 76-year-old man without a history of cancer sought chiropractic care for right shoulder pain. Careful evaluation radiographs and subsequent imaging revealed primary and metastatic lung cancer. The patient was referred to his primary care physician for immediate medical care. Diagnostic images are included in this case to provide a comprehensive depiction of the scope of the patient s disease. Conclusion Musculoskeletal symptoms are commonly encountered in chiropractic practice. It is important to recognize that primary lung cancer may be unidentified and musculoskeletal symptoms may reflect the first sign of primary or metastatic pulmonary disease. Thoughtful evaluative procedure and clinical decision making combined with the use of appropriate diagnostic tests may