The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지
DOI QR코드

DOI QR Code

The Shoulder Pain due to Metastatic Breast Cancer -A Case Report-

  • Kim, Sae-Young (Department of Anesthesiology and Pain Medicine, School of Medicine Keimyung University) ;
  • Jung, Min-Woo (Department of Anesthesiology and Pain Medicine, School of Medicine Keimyung University) ;
  • Kim, Jin-Mo (Department of Anesthesiology and Pain Medicine, School of Medicine Keimyung University)
  • Received : 2011.03.10
  • Accepted : 2011.05.06
  • Published : 2011.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

A rotator cuff tear causes shoulder pain and limits movement of the shoulder joint. A chronic degenerative change or impingement is the reason for a rotator cuff tear. Diagnosis is made based on medical history and, physical and radiological examinations. Other causes of shoulder pain include calcific tendinitis, degenerative arthropathy, joint dislocation, fracture, and primary or metastatic neoplasm. However, metastatic cancer in the shoulder joint is difficult to diagnosis. We experienced a case in which a 46-year-old female patient complained of left shoulder pain and limited joint mobility, and these symptoms were due to metastatic breast cancer in the shoulder.

Keywords

References

  1. Badley EM, Tennant A. Changing profile of joint disorders with age: findings from a postal survey of the population of Calderdale, West Yorkshire, United Kingdom. Ann Rheum Dis 1992; 51: 366-71. https://doi.org/10.1136/ard.51.3.366
  2. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 1995; 54: 959-64. https://doi.org/10.1136/ard.54.12.959
  3. Bjelle A. Epidemiology of shoulder problems. Baillieres Clin Rheumatol 1989; 3: 437-51. https://doi.org/10.1016/S0950-3579(89)80003-2
  4. Jung YH, Woo SH, Jeon SG, Lee WY, Lim YH, Yoo BH. Right shoulder pain due to metastatic lung cancer: a case report. Korean J Pain 2008; 21: 164-7. https://doi.org/10.3344/kjp.2008.21.2.164
  5. Stevenson JH, Trojian T. Evaluation of shoulder pain. J Fam Pract 2002; 51: 605-11.
  6. Miller RH, Dlabach JA. Shoulder and elbow injuries. In: Campbell's operative orthopaedics. 11th ed. Edited by Canale ST, Beatty JH. Philadelphia, Mosby Elsevier. 2007, pp 2609-31.
  7. Penny JN, Welsh RP. Shoulder impingement syndromes in athletes and their surgical management. Am J Sports Med 1981; 9: 11-5. https://doi.org/10.1177/036354658100900102
  8. Hawkins RJ, Kennedy JC. Impingement syndrome in athletes. Am J Sports Med 1980; 8: 151-8. https://doi.org/10.1177/036354658000800302
  9. Rafii M, Firooznia H, Sherman O, Minkoff J, Weinreb J, Golimbu C, et al. Rotator cuff lesions: signal patterns at MR imaging. Radiology 1990; 177: 817-23. https://doi.org/10.1148/radiology.177.3.2243995
  10. Quinn SF, Sheley RC, Demlow TA, Szumowski J. Rotator cuff tendon tears: evaluation with fat-suppressed MR imaging with arthroscopic correlation in 100 patients. Radiology 1995; 195: 497-500. https://doi.org/10.1148/radiology.195.2.7724773
  11. Burk DL Jr, Karasick D, Kurtz AB, Mitchell DG, Rifkin MD, Miller CL, et al. Rotator cuff tears: prospective comparison of MR imaging with arthrography, sonography, and surgery. AJR Am J Roentgenol 1989; 153: 87-92. https://doi.org/10.2214/ajr.153.1.87
  12. Brandt TD, Cardone BW, Grant TH, Post M, Weiss CA. Rotator cuff sonography: a reassessment. Radiology 1989; 173: 323-7. https://doi.org/10.1148/radiology.173.2.2678248
  13. Iglehart DJ, Kaelin KM. Disease of the breast. In: Sabiston textbook of surgery. 17th ed. Edited by Countney M, Townsend JR. Philadelphia, Saunders. 2004, pp 867-928.
  14. Coleman RE, Rubens RD. The clinical course of bone metastases from breast cancer. Br J Cancer 1987; 55: 61-6. https://doi.org/10.1038/bjc.1987.13
  15. Martin TJ, Moseley JM. Mechanisms in the skeletal complications of breast cancer. Endocr Relat Cancer 2000; 7: 271-84. https://doi.org/10.1677/erc.0.0070271
  16. Thomas RJ, Guise TA, Yin JJ, Elliott J, Horwood NJ, Martin TJ, et al. Breast cancer cells interact with osteoblasts to support osteoclast formation. Endocrinology 1999; 140: 4451-8. https://doi.org/10.1210/en.140.10.4451
  17. Ritch PS, Hansen RM, Collier BD. Metastatic renal cell carcinoma presenting as shoulder arthritis. Cancer 1983; 51: 968-72. https://doi.org/10.1002/1097-0142(19830301)51:5<968::AID-CNCR2820510534>3.0.CO;2-J
  18. Healey JH. Bone tumor. In: Sabiston textbook of surgery. 17th ed. Edited by Countney M, Townsend JR. Philadelphia, Saunders. 2004, pp 816-24.

Cited by

  1. Frozen shoulder and risk of cancer: a population-based cohort study vol.117, pp.1, 2017, https://doi.org/10.1038/bjc.2017.146
  2. Extraspinal Percutaneous Osteoplasty for the Treatment of Painful Bony Metastasis vol.33, pp.8, 2018, https://doi.org/10.3346/jkms.2018.33.e61