Referred shoulder pain in a patient with small cell lung cancer

摘要

A 60-year-old man with no relevant medical history presented at the respiratory outpatient clinic with shortness of breath. Chest X-ray showed a large mass in the upper mediastinum and the patient was referred for FDG-PET/ CT for staging of suspected lung cancer. FDG-PET/CT showed a large central tumour in the right lung attached to a large mediastinal mass (both FDG avid), without distant metastases (figure 1). During bronchoscopy a large ulcerating tumour was seen at the carina, partly obstructing the right main bronchus.