Bladder metastasis presenting as neck, arm and thorax pain: A case report

被引：3
作者：
Daniels C.J. [1 ,2 ,3 ]
Wakefield P.J. [1 ,2 ]
Bub G.A. [1 ,2 ]
机构：
[1] Chiropractic Clinic, VA St. Louis Healthcare System, 1 Jefferson Barracks Rd, Saint Louis, MO
[2] Logan University, College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO
[3] 811 Rowell St., Steilacoom, 98388, WA
来源：
Chiropractic & Manual Therapies | / 24卷 / 1期
关键词：
Bladder cancer; Case report; Chiropractic; Metastasis; Neck pain; Transitional cell carcinoma;
D O I：
10.1186/s12998-016-0097-8
中图分类号：
学科分类号：
摘要：
Background: A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed. Case presentation: This patient presented in November 2014 with progressive neck, thorax and upper extremity pain. Computed tomography revealed a destructive soft tissue mass in the cervical spine and additional lytic lesion of the 1st rib. Prompt referral was made for surgical consultation and medical management. Conclusion: Distant metastasis is rare, but can present as a musculoskeletal complaint. History of carcinoma should alert the treating chiropractic physician to potential for serious disease processes. © 2016 Daniels et al.
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