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PM R. 2014 Jun;6(6):560-3. doi: 10.1016/j.pmrj.2013.11.012. Epub 2014 Jan 7.

A mediastinal mass presenting with unilateral periscapular and arm pain.

Author information

  • 1Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago, 345 East Superior St, Chicago, IL 60611(∗). Electronic address: zmccormick@ric.org.
  • 2Physical Medicine and Rehabilitation/Pain Medicine Rehabilitation Institute of Chicago, Chicago, IL (ad interim)(†).
  • 3Chicago College of Osteopathic Medicine, Midwestern University, Chicago, IL(‡).
  • 4Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago, Chicago, IL(§).

Abstract

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.

PMID:
24412635
DOI:
10.1016/j.pmrj.2013.11.012
[PubMed - indexed for MEDLINE]
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