Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 15140
  Title The horse that was a zebra: Primary lymphoma of bone mimicking shoulder strain in an elderly male [case report]
Journal J Can Chiropr Assoc. 2000 Mar;44(1):21-28
Peer Review Yes
Publication Type Case Report
Abstract/Notes Primary malignant tumours of the extremities are rarely seen in chiropractic clinics. A case is presented of an eighty year old male who had complained of pain in the right shoulder of several days duration. History and clinical examination were consistent with mechanical joint pain. Following an appropriate course of conservative care the patient continued to improve until a re-injury occurred 3 months later. At that time, radiographs revealed an ill-defined moth-eaten lesion in the proximal humeral head. Subsequent evaluation demonstrated it to be a rare histologic sub-type of lymphoma. This case highlights several important issues ranging from clinical presentation to case management.

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