Tuesday, June 21, 2022

Is Shoulder Pain Related To Lung Cancer

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Lung Changes That Show On An X

Lung Cancer And Shoulder Pain: What Is The Link?

Sometimes doctors might find some unusual changes on your chest x-ray. Your doctor might have arranged an x-ray for other reasons and you might not have any symptoms.

Changes on a chest x-ray dont always mean that you have lung cancer. There can be other causes, such as an infection. But your doctor might arrange other tests to look further at the;changes.

Lung Cancer Diagnosis And Treatment At Moffitt Cancer Center

If youre experiencing shoulder pain or any other lung cancer signs, you can turn to the experienced team at Moffitt Cancer Center. Our Thoracic Oncology Program handles all stages of lung cancer, including rare malignancies. To speak with one of our lung cancer specialists, call or complete a new patient registration form online.

What Should You Do If You Have Shoulder Pain

Most of the time, shoulder pain is caused by repeated movements of your joint, injury, fracture, or inflammation of soft tissues, not a tumor.

You should see your doctor for a thorough exam if you have shoulder pain that spreads to other nearby areas of your body, or other symptoms like arm pain, muscle weakness, or tingling. If youâve been exposed to asbestos at work recently or further in the past, be sure to tell your doctor. Breathing in asbestos is the main cause of mesothelioma.

Imaging tests like MRIs, CT scans, or PET scans may show a Pancoast tumor or signs of mesothelioma.

Your doctor may need to do a needle biopsy to analyze tissue from the tumor or lung fluid to be sure itâs cancer and, if so, to see how advanced it is.

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Clubbing Of The Fingernails And/or Toenails

Clubbing, or enlargement, of the tip of the finger or toe, occurs when excess soft tissue forms under the nail beds. This causes a change in how the nails emerge from the nail bed. In a normal finger or toe, there is a slight V-shaped angle between the nail and the nail bed. In a clubbed finger or toe, there is no V-shaped angle, because the tissue has built up and covered that area.

Clubbing in fingers or toes occurs in many conditions, including lung cancer. One clue to doctors that clubbing could indicate lung cancer is when fingers are also nicotine-stained. Clubbing occurs in stages. In early-stage lung cancer finger clubbing, the nail bed may be soft and the skin next to it may be shiny; nails may appear more curved than usual when viewed from the side, and the ends of fingers may become larger than usual. Finger clubbing associated with advanced lung cancer may cause extra areas of bone to form along the finger joints and wrists. Clubbing is one of several symptoms caused by substances secreted by cancer cells.

Why Is The Approval Of Aduhelm Significant

Lung Cancer And Shoulder Pain

According to the FDA, Aduhelm targets what is largely considered to be a marker of Alzheimer’s the presence of amyloid-beta plaques in the brain. In a clinical trial, Aduhelm was found to reduce these plaques, which could lead to a reduction of the patient’s clinical decline.

The FDA said it “examined the clinical trial findings with a fine-tooth comb” and used its Accelerated Approval program to make its decision. For scientists, this decision opens the door to new research and possibilities.

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Types Of Lung Cancer In Women And Men

The types of lung cancer differ among women and men as well:

  • Women tend to develop NSCLC more than men.
  • Women are more likely to be diagnosed with adenocarcinoma than men .
  • Female nonsmokers are more likely than male nonsmokers to be diagnosed with the subtype bronchioalveolar carcinoma.
  • Women who have lung cancer are more likely to live longer than men.
  • Women who undergo surgery for some lung cancers, including NSCLC, also live longer than men. Women have a better response to chemotherapy;treatments for lung cancer than men do.
  • Men are more likely to be diagnosed with squamous cell carcinoma than women.

Pancoast Lung Cancer Tumors

Pancoast tumors are a relatively rare form of lung cancer. These tumors develop in a groove called the superior sulcus at the top of the lungs. They often cause intense shoulder pain on the same side of the body as the affected lung, as the superior sulcus is close to the shoulder.

Some people with a Pancoast tumor may experience a group of symptoms called Horner syndrome, which might further contribute to shoulder pain. This syndrome can also cause

changes in the eyes, including droopy eyelids or shrinking in one pupil, and asymmetrical changes in sweating, such as reduced sweating on one side of the face.

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What Is Pancoast Tumor Treatment

    The optimal treatment for Pancoast tumors has evolved. All lung cancer treatment continues to consider the patient’s overall condition and what is specifically called performance status in making treatment decisions. The performance status compares the patient’s condition to their pre-illness presumably normal activity levels. In patients with limited tumors and early Pancoast syndrome and good performance status, today the ideal treatment of even potentially operable cancers is a combination of cisplatin based chemotherapy and radiation.

    This is then followed by restaging, and when appropriate, aggressive surgical resection of the entire lung and affected adjacent tissues followed by further postoperative chemotherapy. This approach can be curative in as many as half of patients followed for five years or more.

    Alternative approaches in selected patients including surgical resection alone, preoperative radiation and surgery , or just radiation alone can be considered in selected cases. The best results have been reported with combined multi-modality treatment.

    Where Does Lung Cancer Cause Pain

    Can My Shoulder Pain Be Cancer?

    The mortality rate of lung cancer is high since it is often caught lately, when it is less likely to respond the treatment. Sometime it can be painful, too. Since it originally grows in the lung, pain in the chest is the common symptom. It may also cause pain in other parts of the body, especially when it has become advanced!

    Understanding cancer pain in general

    Cancer pain is common, though not patients with cancer experience this discomfort symptom. Some types of cancer can be more painful.

    Even though if the cancer doesnt directly cause pain, the discomfort may come from the treatment! About 1 out of 3 patients undergoing treatment for cancer experience pain and other discomfort symptoms.

    The chance to have cancer pain increases if the cancer has become advanced. Even it can be more painful, too. However this can vary from patient to patient.

    It occurs in many different ways. It may be achy, dull, or sharp. The intensity and severity vary, too which could be severe, moderate, mild, intermittent, or constant.

    How does cancer pain occur? It can be a result from the cancer itself or other things associated with cancer .

    In most cases, it is caused by the cancerous tumor pressing on nerves, bones, or particular organs in the body. Over time, tumor can grow and become large enough to cause more pressure on the surrounding tissues or organs.

    At advanced stage, the pain can occur from the primary cancerous tumor itself or the secondary cancerous tumor .

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    Exercises And Stretches That Offer Relief

    Remember that if treatment doesnt work, its also wise to ask about the potential for cancer.

    Some exercises and stretches that can help heal frozen shoulders include the following. These can also help stretch a tight and sore shoulder:

    In addition to the above stretches, try these strengthening exercises when youre ready:

    • Outward rotation: Hold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. Press your hands out, rotating the lower part of the arms outward. You should feel your shoulder muscles working. Hold for 5 to 10 seconds, relax and repeat 10 to 15 times.
    • Inward rotation: Hook one end of a rubber exercise band around a doorknob. Grasp the other end with the hand of the affected arm, holding the elbow at a 90-degree angle. Pull the band toward your body aiming for the stomach area a couple of inches and hold for 5 to 10 seconds. Repeat 10 to 15 times.

    Is Shoulder Pain A Sign Of Lung Cancer

    Sharp shoulder or scapula pain are some of the most common symptoms of a Pancoast tumor, particularly in its early stages. The pain typically develops as the tumor impacts one or more of the nearby structures, such as the:

    • Ribs
    • Neck
    • Ulnar nerve, which runs from the side of the arm to the wrist
    • Branchial plexus, the nerve fibers that run downward from the spine and into the shoulder and arm
    • Parietal pleura, the highly sensitive outer layer of the membrane that lines the chest cavity.
    • Endothoracic fascia, the fibrous tissue that separates the chest wall from the diaphragm and the pleura;;

    Shoulder pain can be a symptom of other lung cancers besides Pancoast tumors, typically if a lung tumor presses against a particular nerve or if the cancer travels to the tissues or bones near the shoulder joint.;

    Its important to note that shoulder pain is far more likely to be caused by an orthopedic condition, such as osteoarthritis or a rotator cuff injury, than lung cancer. Nevertheless, shoulder pain that persists for more than a few days should be evaluated by a medical professional. Shoulder discomfort that is related to lung cancer may worsen at night, be present while resting or occur without impacting range of motion. Lung cancer that is not classified as a Pancoast tumor may also cause a hacking cough, shortness of breath and wheezing, among other respiratory symptoms.;;

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    Symptoms That May Suggest Lung Cancer

    The symptoms of back pain related to lung cancer are diverse and overlap significantly with back pain caused by other conditions. If it involves the spine, it can mimic many of the symptoms of an upper back injury.

    Lung cancer related back pain may be generalized like a muscle ache or sharp like a pinched nerve. People with adrenal gland involvement may sometimes complain of “kidney pain” on one side of their back, or describe a feeling like they’ve just been “kidney punched.”

    That said, back pain related to lung cancer may have certain telltale signs. Red flags that back pain may be due to lung cancer include:

    • Back pain that is present at rest
    • Back pain that is worst at night
    • Back pain that occurs without any activity
    • Back pain that worsens the longer you lie in bed
    • Back pain that gets worse when you take a deep breath
    • Back pain that doesn’t respond to physical therapy or other medical interventions

    Moreover, back pain accompanied by other telltale signs such as a;persistent cough, shortness of breath,;unintentional weight loss, chronic fatigue, or the;coughing up of blood;may further support the likelihood of lung cancer.

    It’s important to note, however, that the “typical” symptoms of lung cancer are less likely to be present with lung adenocarcinoma, and currently the most common symptoms are fatigue and shortness of breath with exercise .

    Pancoast Tumor Risk Factors

    Lung cancer warning

    Pancoast tumors and other lung cancers share many of the same risk factorsa characteristic or behavior that may increase the likelihood of developing a certain condition. Established risk factors for Pancoast tumors include:

    • Smoking tobacco
    • Prolonged exposure to secondhand smoke, asbestos or other industrial substances, such as nickel and chromium
    • Being male
    • Being between the ages of 50 and 60

    Pancoast tumors can affect anyone, including individuals who do not have any known risk factors for this cancer. Still, people with one or more risk factors should be particularly mindful to seek care for symptoms and receive appropriate treatment.

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    Outlook For People With Lung Cancer

    Lung cancer is one of the most dangerous forms of cancer because it spreads so rapidly. Among those in whom a doctor detects and treats lung cancer before it spreads, about 56% will live for 5 years beyond diagnosis.

    However, once lung cancer reaches distant sites in the body, the 5 year survival rate reduces to 5%. For the best chance of survival, people who have symptoms of lung cancer should seek prompt medical treatment.

    The treatment options for lung cancer depend on the type of cancer and whether it has spread to other areas of the body. Some of the most common treatments include:

    • surgery to remove tumors
    • chemotherapy and radiation treatment

    What Causes Lung Cancer Shoulder Pain

    Lung cancer shoulder pain can have a number of causes. One reason it occurs is due to whats known as referred pain. This is a type of pain that has its source in one area of the body but is felt in another.

    Sometimes the shoulder pain associated with lung cancer is caused by a relatively rare form of cancer called pancoast tumors. These tumors form in an area at the top of the lungs called the superior sulcus. Given how close this area is to the shoulder, it can cause intense pain there. If youve been diagnosed with lung cancer, your doctor can tell you more about shoulder pain and lung cancer.

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    The Link Between Shoulder Pain And Lung Cancer

    People who get shoulder pain may worry about it being caused by lung cancer. While this is possible, its much more likely that your shoulder pain is caused by something like an injury, tendonitis, or arthritis. Your doctor can help you determine the cause of your pain.

    Shoulder pain can be a symptom of lung cancer from early through late stages of the disease.

    Read on to learn about the types of lung cancer that can cause shoulder pain.

    What Is Usually The First Sign Of Lung Cancer

    Cancer symptom pains – Lung Cancer

    While signs of lung cancer vary from person to person and may differ based on the size and location of the tumor, one of the most common symptoms is coughing, which occurs in about one-half of cases.

    The cough is often described as hacking or raspy, and may cause phlegm or mucus to come up.

    Typically, this cough doesnt go away or get better.

    If you have a persistent cough, tell your doctor immediately, notes the GO2 Foundation for Lung Cancer.

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    Request An Appointment At Moffitt Cancer Center

    Please call for support from a Moffitt representative. New Patients and Healthcare Professionals can submit an online form by selecting the appropriate buttonbelow. Existing patients can call . for a current list of insurances accepted at Moffitt.

    NEW PATIENTS To request a new patient appointment, please fill out the online form or call 1-888-663-3488.

    REFERRING PHYSICIANS Providers and medical staff can refer patients by submitting our online referral form.

    Moffit now offers Virtual Visits for patients. If you are eligible for a virtual appointment, our scheduling team will discuss this option further with you.

    Moffitt Cancer Center is committed to the health and safety of our patients and their families. For more information on how were protecting our new and existing patients, visit our COVID-19 Info Hub

    Is Back Pain A Sign Of Lung Cancer

    There are many reasons for back pain, including, rarely, cancer. Around 1 in 4 people with lung cancer say they have experienced back pain at some point.

    The pain may come from a tumor pressing on the spine or affecting nerves around the chest wall and spine. Lung cancer that has metastasized to the spine may also cause back pain, notes the Dana-Farber;Cancer Institute.

    RELATED: 6 Steps to Take After Youve Been Diagnosed With Metastatic Non-Small-Cell Lung Cancer

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    Changes To Your Eyelids Or Pupils

    Eyelid changes or changes to your pupils are another less common lung cancer sign caused by compression of nerves and blood vessels that warrants a trip to the doctor, says Dr. Wert. Because they can affect nerves to the eye and face, Pancoast lung tumors can also potentially cause drooping or weakness of the upper eyelid or reduced pupil size, per the ACS.

    Extreme Thirst And Frequent Urination

    Lung Cancer and Shoulder Pain: Are They Related?

    Thirst is common with the sudden onset of warmer weather, but sudden extreme thirst is a symptom that you should always discuss with your doctor. Some lung cancer tumors create a protein that acts very similar to the parathyroid hormone produced by the parathyroid gland. The parathyroid gland and kidneys normally regulate calcium levels in the body.

    Cancer tumors can disrupt the process of regulating calcium, and lead to too much calcium in the bloodstream. Having a higher than usual level of calcium in the blood is called hypercalcemia, and about 10% to 20% of people with cancer develop hypercalcemia. High calcium levels are associated with being thirst and frequent urination.

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    When Back Pain Is A Symptom Of Lung Cancer

    It is not uncommon for people to experience back pain with lung cancer or even to have back pain as their first symptom. While it may seem an unusual associationlinking the back to the lungsthere are defining features that are as telling as they are unique. Chief among them are the location and types of pain experienced, which may be quite different from your typical, chronic backache.

    All told, around 25% of people with lung cancer will report back pain as a;symptom at some point in their disease.

    Verywell / Hugo Lin

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