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. 2016:2016:7284070.
doi: 10.1155/2016/7284070. Epub 2016 Jun 26.

Atypical Chest Pain: An Unusual Presentation of Spinal Metastasis due to Penile Carcinoma

Sarah Pywell  1 , Shumaila Hasan  2 , Mohammad Zain Sohail  1 , Georgios Mamarelis  1 , Cameron Dott  1 , Mohammad Taimur Khan  3 , Naveethan Sivanadarajah  1
Affiliations

Atypical Chest Pain: An Unusual Presentation of Spinal Metastasis due to Penile Carcinoma

Sarah Pywell et al. Case Rep Surg. 2016.

Abstract

Spinal metastases may present in a myriad of ways, most commonly back pain with or without neurology. We report an unusual presentation of isolated atypical chest pain preceding metastatic cord compression, secondary to penile carcinoma. Spinal metastasis from penile carcinoma is rare with few cases reported. This unusual presentation highlights the need for a heightened level of clinical suspicion for spinal metastases as a possible cause for chest pain in any patients with a history of carcinoma. The case is discussed with reference to the literature.

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Figures

Figure 1
Figure 1
(a) CT scan at the time of penile resection. (b) CT scan at the time of A+E presentation with weakness.
Figure 2
Figure 2
MRI scan, sagittal T2 weighted image, showing posterior soft tissue mass at the level of T5 with associated pathological fracture and diffuse paravertebral oedema. There is evidence of moderate compression of the spinal cord.
Figure 3
Figure 3
MRI scan, axial T1 weighted image, showing posterior soft tissue mass at the level of T5 with associated pathological fracture and diffuse paravertebral oedema. There is evidence of moderate compression of the spinal cord.
See this image and copyright information in PMC

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