A Mediastinal Mass Presenting With Unilateral Periscapular and Arm Pain

We describe a case of a patient with mediastinal lymphoma who presented with arm and scapular pain, which is an atypical referral pattern for pain originating from the mediastinum. We use this case as a platform to discuss mediastinal pain referral patterns and the importance of maintaining a broad...

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Bibliographic Details
Published in:PM & R 2014-06, Vol.6 (6), p.560-563
Main Authors: McCormick, Zack, MD, Bouffard, Karina J., MD, MPH, Neudorf, Daniel, MS, Casey, Ellen, MD
Format: Article
Language:English
Subjects:
Adult
Biopsy, Needle
Diagnosis, Differential
Female
Humans
Immunohistochemistry
Lymph Nodes - pathology
Lymphoma - complications
Lymphoma - diagnosis
Lymphoma - drug therapy
Magnetic Resonance Imaging - methods
Mediastinal Neoplasms - complications
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - drug therapy
Neck Pain - diagnosis
Neck Pain - etiology
Physical Medicine and Rehabilitation
Risk Assessment
Scapula - physiopathology
Shoulder Pain - diagnosis
Shoulder Pain - etiology
Tomography, X-Ray Computed - methods
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Description
Summary:We describe a case of a patient with mediastinal lymphoma who presented with arm and scapular pain, which is an atypical referral pattern for pain originating from the mediastinum. We use this case as a platform to discuss mediastinal pain referral patterns and the importance of maintaining a broad differential diagnosis of arm and scapular pain, especially when symptoms atypical of pure neuromusculoskeletal structural disease are present.
ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2013.11.012