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Chiropractic & Manual Therapies

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Open Access 01-12-2016 | Case report

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

Authors: Clinton J. Daniels, Pamela J. Wakefield, Glenn A. Bub

Published in: Chiropractic & Manual Therapies | Issue 1/2016

Abstract

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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Title: Bladder metastasis presenting as neck, arm and thorax pain: a case report
Authors: Clinton J. Daniels
Pamela J. Wakefield
Glenn A. Bub
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Chiropractic & Manual Therapies / Issue 1/2016
Electronic ISSN: 2045-709X
DOI: https://doi.org/10.1186/s12998-016-0097-8

At a glance: The STEP trials

Springer Medicine

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

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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