Journal of Clinical Trials
Open Access

Department of Medicine, Wellington Medical Group, 24 Moorefield Road, Johnsonville, Wellingto, New Zealand

Publications

• Case Report   
  A Rare but Sinister Cause of Shoulder Pain: A Case Report
  Author(s): Ting Wang*
  
  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 tumor 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 sh.. View More»
  DOI: 10.35248/2167-0870.22.12.515

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