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    ID 20430
    Title Lung cancer metastasis to the scapula and spine: A case report
    URL http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2533337&blobtype=pdf
    Journal Chiropr & Osteopat. 2008 ;16(8):Online access only 6 p.
    Author(s)
    Subject(s)
    Peer Review Yes
    Publication Type Case Report
    Abstract/Notes 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 allow timely identification of primary or metastatic disease.

    Click on the above link for free full text. This abstract is reproduced with the permission of the publisher. PubMed Record
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