STAGE IV SMALL-CELL LUNG CANCER PRESENTING AS LEG PAIN

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

Published Sep 12, 2017
Tara Cheuvront Adam Sergent

Abstract

Objective: To describe the management of a patient with unresolving anterior thigh pain who was later diagnosed with stage IV small-cell lung cancer.Clinical Features: A 60-year-old female with anterior thigh pain had no relief following 4 weeks of conservative care. Radiographs of the affected area were taken and were unremarkable. Following another 4 weeks of care without improvement she was referred for a MRI of the right hip and leg that later revealed a lesionIntervention and Outcome: After a referral and subsequent imaging it was confirmed that this lesion had metastasized from her previously undiagnosed lung cancer.Conclusion: Following standard of care with imaging can lead the chiropractic physician to play a vital role in the healthcare field as a primary care provider. (Chiropr J Australia 2017;45:196-202)
Abstract 164 | PDF Downloads 100

##plugins.themes.bootstrap3.article.details##

Keywords

Leg Pain, Small-Cell Lung Cancer

References
1. Ju y. A transforming KIF5B and RET gene fusion in lung adenocarcinoma revealed from whole-genome and transcriptome sequencing. Genome Res 2012;22:436-445
2. Sabera, Jeroen T, Hiltermann N, Kok K, Terpstra M, Lange K, Timens W, Groen H, Berg A. Mutation patterns in small cell and non-small cell lung cancer patients suggests a different level of heterogeneity between primary and metastatic tumors. Carcinogenesis Adv Access 2016:1-27
3. Sher T, Dy G, Adjei A. Small cell lung cancer. Mayo Clin Proc 2008;83(3):355-367
4. Rizzoli R, Body J-J, Brandi M-L et al. Cancer-associated bone disease. Osteoporosis Intern 2013;24(12):2929-2953. doi:10.1007/s00198-013-2530-3.
5. Brodowicz T, Obryne K, Manegold C. Bone matters in lung cancer. Ann Oncol 2012;23:2215-2222
6. Iordanidou L, Trivizaki E, Saranti S. Is there a role of whole body bone scan in early stages of non-small cell lung cancer patients. J Buon 2006;11:491-497
7. Carter B, Glission B, Truong M, Erasmus J. Small cell lung carcinoma: staging. imaging, and treatment considerations. Radiographics 2014;34:11707-1721, doi: 10.1146/rg.346140178
8. Shi Y, Sun Y, Yu J, et al. China experts consensus on the diagnosis and treatment of advanced stage primary lung cancer (2016 version) Asia Pac J Clin Oncol 2017;13(1):87-103. doi: 10.1111/ajco.12608. Epub 2016 Nov 7.
9. National Cancer Institute. Cancer staging fact Sheet.
www.cancer.gov/cancertopics/factsheet/detection/staging, accessed 21 Feb 2017
Section
Articles