罕见的右肩痛病例。
A rare case of right shoulder pain.
机构信息
Medicine, University of Florida Health, Gainesville, Florida, USA
Medicine, University of Florida Health, Gainesville, Florida, USA.
出版信息
BMJ Case Rep. 2021 Feb 10;14(2):e232266. doi: 10.1136/bcr-2019-232266.
We present a case of a 19-year-old man with right shoulder pain lasting for several months. Abdominal imaging revealed a right adrenal mass directly invading vascular structures into the right atrium. Widespread metastatic adrenocortical carcinoma was confirmed on biopsy. He opted for palliative mitotane treatment with home hospice care. This case emphasises the importance of considering abdominal masses in the differential diagnosis of persistent right shoulder pain after common causes have been ruled out. Early diagnosis could be potentially life-saving.
我们报告 1 例 19 岁男性，右侧肩部疼痛持续数月。腹部影像学检查显示右侧肾上腺肿块直接侵犯血管结构进入右心房。活检证实广泛转移性肾上腺皮质癌。他选择姑息性米托坦治疗并接受家庭临终关怀。该病例强调了在排除常见原因后，持续性右侧肩部疼痛的鉴别诊断中应考虑腹部肿块的重要性。早期诊断可能具有潜在的挽救生命的作用。
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