Bladder Metastasis Presenting as Neck, Arm and Thorax Pain: A Case Report
Clinton J. Daniels, Pamela J. Wakefield
and Glenn A. Bub
VA St. Louis Healthcare System
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.
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