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Bladder metastasis presenting as neck, arm and thorax pain: a case report
Clinton J Daniels1, Pamela J Wakefield2, Glenn A Bub2
1Chiropractic Clinic, VA St. Louis Healthcare System, 1 Jefferson Barracks Rd, Saint Louis, MO USA ; Logan University, College of Chiropractic, 1851 Schoettler Rd, Chesterfield, MO USA ; 811 Rowell St., Steilacoom, WA 98388 USA.
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.
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