04 September 2022>: Articles
Metastatic Recurrent Breast Cancer Identified in the Chiropractic Office: Case Report and Literature Review
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment
Eric Chun-Pu Chu A , Robert J. Trager C* , Colin Ritchie Lai A , John Sing Fai Shum BDOI: 10.12659/AJCR.937609
Am J Case Rep 2022; 23:e937609
Table 1. Patients with undiagnosed breast cancer metastasis presenting to a chiropractor.
Author | Year | Patient age (years) | Symptoms | Breast cancer history | Initial means of diagnosis | Region(s) of skeletal metastasis* |
---|---|---|---|---|---|---|
Boysen | 2016 | 44 | LBP with radiation to hip | Yes. In remission for 3 years. Further details unclear | MRI (region unclear) | Acetabulum |
Conley | 1983 | 54 | Shoulder & arm pain | Yes. Mastectomy 5 years prior | Thoracic & lumbar radiographs | Ilium, thoracic spine, hip |
Current case | 2022 | 41 | LBP and leg pain | Yes, 3 years prior. Had mastectomy, chemotherapy, radiation. Remission >6 months | Lumbar MRI | L5 |
Grilliot | 1983 | 76 | Mid-thoracic pain | Yes, 7 years prior. Had mastectomy | Chest and thoracic radiographs | T9, T10 |
Grod | 1994 | 46 | LBP with radiation to leg | Yes, 2 years prior. Had mastectomy, normal bone scans | Lumbar radiographs | L2 |
Kahn | 2017 | 27 | LBP, lack of response to care | No | Lumbar MRI | L1, L2 |
Kanga | 2015 | 65 | Cervical, mid-thoracic, and LBP, pressure in head | Yes, 4 years prior. Treated with chemotherapy, recent negative whole-body CT | PCP referral & subsequent brain MRI, CT thorax | T9, L1 |
Osterhouse | 2004 | 80 | Lower extremity pain, fatigue, anorexia | Yes, 12 years ago. Reportedly in remission. Further details unclear | Cancer antigen 27–29, ankle radiographs | Ankle |
* Region of skeletal metastasis upon presentation to the chiropractor. CT – computed tomography; F – Female; LBP – low back pain; MRI – magnetic resonance imaging; M – male; NR – not reported; PCP – primary care provider. |