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Updated: Aug 7, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Axillary pain as a heralding sign of neoplasm involving the upper thoracic root
Devon I Rubin1, Elizabeth A Shuster
1Department of Neurology, Mayo Clinic, Jacksonville, FL 32224, USA. rubin.devon@mayo.edu
Abstract:
The authors report four patients with upper thoracic radiculopathies presenting with axilla pain. All patients had a malignancy affecting the upper thoracic nerve roots. Electrodiagnostic testing demonstrated abnormalities in the upper thoracic nerve root distribution; imaging demonstrated neoplasms. Pain in the armpit that is severe or progressive may be indicative of a malignant pathology, and evaluation should target the upper thoracic roots.
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