Thursday, August 11, 2022

Why Shoulder Pain With Lung Cancer

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Unexpected Signs And Symptoms Of Lung Cancer

Cancer symptom pains – Lung Cancer

What sort of symptoms would be considered unexpected, shocking, or surprising? These signs and symptoms dont appear to be related to our lungs. The general public would not expect these indicators or signals to be a warning of lung cancer.

  • Arm/shoulder pain or eye problems. One kind of lung cancer develops in the lungs upper part. Instead of affecting the lungs, these tumors may spread to the ribs, the vertebrae of your spine, or the nerves or blood vessels. These tumors cause pain in your shoulder blade, upper back, or arms. They might cause numbness or tingling in your hands too. The Pancoast tumors that cause arm/shoulder pain can also cause eye problems. Patients may realize that the pupil of one eye is smaller, that eyelid droops, and less perspiration on that side of your face. This set of eye symptoms is called Horner Syndrome.
  • Hoarseness or change in voice. Some people get hoarse your voice may sound strained or raspy or sound lower in tone or softer in volume. A tumor in the lung can press on the nerve that controls the vocal cords. Hoarseness is caused by many other conditions, too, like a cold or laryngitis.
  • Blood clots. People with lung cancer are more likely to develop blood clots in your legs, arms, or lungs. Researchers believe that cancer increases inflammation in the body. The inflammation, in turn, causes blood clots.
  • Types Of Pain In Lung Cancer

    Pain is generally considered the most common symptom of lung cancer. Pain is often caused by multiple factors and its management needs to be multi-disciplinary to address all these aspects. In cancer, pain can be characterized into two areas: acute pain and chronic pain. Acute pain is usually due to a definable injury or illness. Acute pain may be a secondary cause of cancer, such as a severe bleeding into a tumor, bone pain caused by a metastasis , or abdominal pain caused by a metastasis that obstructs the bowel. Acute pain is usually experienced for a limited duration and is predictable. It is usually associated with clinical signs such as increased heart rate, high blood pressure, sweating, and pale skin.3

    Chronic cancer pain may be a result of the same causes as acute pain but it is experienced for a much longer duration. Chronic pain can persist for more than 12 hours a day and often has a gradual or poorly defined onset. Approximately 75 percent of cancer patients live with chronic pain.3

    Many cancer patients experience flares of pain despite using pain medications. These flares are called breakthrough cancer pain. Breakthrough pain greatly impairs a patients quality of life and can cause additional psychological burden.3

    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 theyve 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 doesnt 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.

    Its 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 .

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    What Does Lung Cancer Shoulder Pain Feel Like

    Shoulder pain from lung cancer is quite similar to other forms of shoulder pain. Because of this, it might be difficult to determine the cause of your shoulder pain.

    If youve recently fallen or injured your shoulder in some way, lung cancer is unlikely to be the cause of your shoulder pain. There are many reasons for shoulder pain that arent lung cancer.

    Lung cancer is more likely to be the cause of your pain if youre a smoker and your pain:

    • occurs during rest
    • isnt associated with any strenuous activity involving the shoulder
    • happens at night
    • doesnt resolve itself after a few weeks

    Your shoulder pain is also more likely to be a symptom of lung cancer if you have other lung cancer symptoms as well. These might include:

    • shortness of breath, often mild and with activity
    • a persistent cough
    • fatigue
    • losing weight without a reason

    People who have shoulder pain from lung cancer often describe it as a radiating pain from the shoulder down their arms to their hands. There may also be numbness or tingling. At other times, it can feel like a deep ache.

    Lung cancer frequently causes chest pain as well. Sometimes, this chest pain is a result of bouts of coughing.

    In other cases, the pain of lung cancer is a result of a large tumor pressing on other structures or growing into the chest wall and ribs.

    Tumors in the lungs can also press on blood vessels and lymph nodes. That causes a buildup of fluid in the lining of the lung, and it can cause pain or shortness of breath.

    • minor injury

    Medications For Pancoast Tumors

    Lung cancer symptoms: Shoulder pain is a sign you might ...

    The standard of care for people with a Pancoast tumor is chemotherapy and radiation followed by removal of the tumor and a portion of the the chest wall if it is affected or if its removal facilitates surgery. The purpose of the chemotherapy and radiation is to shrink the tumor and to block the cancer from spreading through lymph nodes. An interval of two to four weeks after the chemo and radiation allows the the procedures to reach their maximal effect. After four weeks, all patients are reassessed for surgery. If the cancer has not spread to distant areas of the body, surgery will likely be offered.

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    How Common Are Pancoast Tumors

    Pancoast tumors are rare, making up fewer than 3% to 5% of all lung cancers. This means they can be more challenging to diagnose and treat, as not many doctors have experience with this complex disease. Thats why you should visit a high-volume cancer center, such as Moffitt Cancer Center, for advanced diagnosis and treatment of Pancoast tumors. Our experts possess a unique level of experience with uncommon lung malignancies such as these.

    Lung Cancer In Women And Men

    Lung cancer is the second most common type of cancer diagnosed in both men and women , according to the American Cancer Society . Only prostate cancer is more common for men, and breast cancer is more common for women.

    However, lung cancer is the No. 1 cause of cancer death for both genders by far compared with other cancers. Below is a look at the statistics.

    • About 119,100 men and 116,660 women are expected to be diagnosed with lung cancer in 2021, according to the ACS, with an estimated 69,410 deaths among men and 62,470 among women.
    • The number of men diagnosed with lung cancer has decreased in the past four-plus decades, according to the American Lung Association. Diagnosis rates among women were on the rise during the same time period but have started to decline.
    • Women tend to be diagnosed at an earlier age than men.
    • Women who develop lung cancer before menopause are more likely to be diagnosed with advanced disease.

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    Where Does Lung Cancer Cause Pain

    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 .

    More Than Just Leg Pain

    Can My Shoulder Pain Be Cancer?

    It wasnt until a sleepless night at a sports camp in Arizona that Whitmore says she knew something was seriously wrong. I couldnt sleep, and I was having a ton of sciatic nerve pain. I usually had it when I drove a long time or sat too longit was more annoying than anything.

    The next morning she decided to try to go for a jog, and the pain immediately became excruciating. She opted instead to ride her bike, hoping that would ease the pain. Once I got on my bike I was in so much pain I was bawling. I flew back home to go to a nearby hospital. I knew whatever was going on was bad if I couldnt ride my bike. Whitmore never thought her leg pain could be cancerthe worst she thought it could be was a pulled a muscle.

    After scans showed a grapefruit-sized mass near her ovary, she was referred to an obstetrician who performed an exploratory laparoscopy. He said he thought it was cancer, but I began to bleed out during surgery, so he was unable to retrieve a sample to biopsy. As her pain continued to increase, so did other symptoms. I wasnt able to use the restroom without pain I was bed-ridden, unable to walk. No one could tell me exactly what was wrong.

    Courtesy Jamie Whitmore

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    What Is Usually The First Sign Of 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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    Smoking Is One Of The Main Causes Of Lung Cancer:

    • Smoking causes 80% of the lung cancer deaths in women and 90% in men.
    • Men that smoke are 23 times more likely to get lung cancer.
    • Female smokers are 13 times more prone to develop lung cancer.

    But non-smokers get lung cancer too risk factors include radon gas and worked-related exposure to carcinogens. Non-smokers who are exposed to second-hand smoke have a 20-30% greater risk for developing lung cancer.

    Lung cancer is most common in people over 65. However, younger adults can and do develop lung cancer, but less than 2% of patients are below 35.

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    /5what Can Your Cough Indicate

    Coughing can reveal a lot of things about our respiratory system. Whenever germs and harmful objects are trapped in your airways, coughing is the first response of your body to it. Even in case of lung cancer, coughing can be the initial and most crucial sign to identify the condition. When coughing is caused due to minor issues, it goes away on its own after a few days. The one which lingers for a longer time indicates something serious. When coughing lingers for weeks or months it can be due to lung cancer.

    Patient Presented With What Was Assumed To Be Rotator Cuff Injury

    Lung Cancer Risk Factors

    byKate Kneisel, Contributing Writer, MedPage Today September 21, 2020

    A 60-year-old man presents to an emergency department in Dammam, Saudi Arabia, with ongoing burning pain in his right shoulder. He notes that the pain began about 6 months earlier, has gradually worsened, and has not responded to pain killers. He says he experiences the pain throughout the day, and rates it as 7 out of 10 on the severity scale. He explains that the pain has started to interfere with his sleep and quality of life, that it is non-radiating, and that he has no weakness or sensory changes.

    The patient notes that his work involves manual labor, but that he has not had an injury that might account for the pain. He says he has been assessed by several general practitioners and was diagnosed with rotator cuff injury based on the nature of his work. He was prescribed several analgesics as well as physiotherapy, but neither of these measures has relieved the pain.

    The patient is in otherwise good health, with no history of chest pain, shortness of breath, cough, headache, or seizures. He notes no changes in appetite or weight, and his medical and surgical history are unremarkable. He notes that he quit smoking cigarettes about 2 years earlier, after a 30 pack-year history.

    Physical Examination

    Physical exam shows the following:

    • Blood pressure: 110/70 mm Hg
    • Heart rate: 90 beats/min
    • Temperature: 37.0°C
    • Oxygen saturation: 98% on room air

    Discussion

    Disclosures

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    Scared I Have Lung Cancer

      Sorry if I offend anyone as I haven’t been diagnosed with cancer although I am fearful I may have it. I have had a persistent cough for going on 14 weeks now and recently coughed up a little blood, I also had a little upper back pain intermittently. I am an ex smoker of 17 years and I am a man of 39 years old.

      This prompted a visit to the gp who said it was probably viral or could be acid reflux and prescribed me some antibiotics and anti reflux meds. He also sent me for a chest x ray too which was clear. The cough has got better but is still there.

      I brought up a little blood again a week later not through coughing but though pulling it up from my throat so contacted an out of hours GP who sent me to A& E to get checked out. They took bloods and examined me and sent me for another chest x ray both the bloods and x ray were clear.

      I think the a& e doctor may have taken pity on me as she said everything looks fine but was gonna send me for a ct scan to put my mind at rest. I still have the cough and intermittent back pain also have had a little fleeting arm pain and weakness, could be down to aniexty as I am so nervous and worried it’s pretty much on my mind all the time.

      I have two young children you see and it terrifies me I won’t get to see them grow up.

      Small Cell Lung Cancer Symptoms

      Most of the signs associated with small cell lung cancer are not present until the cancer has progressed. Typically, symptoms of SCLC continue to evolve and worsen as the disease spreads to distant organs.

      Early symptoms of SCLC:

      • Lumps in the neck or collarbone region

      Paraneoplastic syndromes and lung cancer:

      Sometimes, SCLC can cause paraneoplastic syndromes. While not always the case, these syndromes are often early signs of SCLC.

      SCLC may cause one of these three paraneoplastic syndromes: Syndrome of Inappropriate Anti-Diuretic Hormone , Cushing Syndrome or Lambert-Eaton Syndrome. Symptoms of paraneoplastic syndromes include muscle cramps, muscle weakness, elevation of calcium in the blood and clubbing, which refers to a change in the shape of the finger tips.

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      Pancoast Tumors And Shoulder Pain

      A Pancoast tumor can form at the top of the lungs . Pancoast tumors are rare and dont show common signs of lung cancer, such as a cough, but show other symptoms that may not appear in more common forms of lung cancer.

      People with a Pancoast tumor often experience sharp shoulder pain early on. As the tumor grows, patients can experience radiating pain towards the armpit, shoulder blade, and connecting bones in the area. The pain can radiate down nerves in the arm, neck, upper ribs, face, and spinal cord.

      Other Pancoast tumor symptoms include upper arm swelling, weakness in hand muscles, loss of hand dexterity, a reduction of muscle tissue in the hand, tingling or numbness in the hand, chest tightness, fatigue, and weight loss.

      Once lung cancer from Pancoast tumors invades the nerves of the face, patients can experience Horners syndrome. Symptoms of Horners syndrome include a droopy eyelid, the inability to sweat normally, flushing in the fact, and displacement of the eyeball on the affected side.

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