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Related Experiment Videos

Systemic malignancy presenting as neck and shoulder pain

W C Welch1, R Erhard, B Clyde

  • 1Department of Neurological Surgery, University of Pittsburgh Medical Center, PA 15213.

Archives of Physical Medicine and Rehabilitation
|August 1, 1994
PubMed
Summary

Persistent neck and shoulder pain, especially with weight loss and a history of smoking, may signal lung cancer. Early diagnosis is crucial as malignancy can cause referred pain without direct metastasis.

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Area of Science:

  • Oncology
  • Rheumatology
  • Pulmonology

Background:

  • Musculoskeletal complaints can be the initial presentation of systemic malignancy.
  • Unexplained pain, particularly in the neck and shoulder, warrants thorough investigation.

Observation:

  • A patient presented with persistent neck and shoulder pain, significant weight loss, and a history of tobacco abuse.
  • Standard treatments including physical therapy and medication did not alleviate the pain.

Findings:

  • Diagnostic studies ultimately revealed lung cancer as the underlying cause.
  • The study highlights that systemic malignancy can manifest as referred musculoskeletal pain.

Implications:

  • Clinicians should consider underlying malignancy in patients with persistent, unexplained musculoskeletal pain, even without apparent metastatic disease.

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  • This case underscores the importance of a comprehensive diagnostic approach for seemingly localized symptoms that may indicate a systemic condition.