FÜNLÜ ÖZKAN, Feyza Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi - Fiziksel Tıp ve Rehabilitasyon Kliniği, Türkiye , ÜSTÜN, Işıl Bağcılar Eğitim ve Araştırma Hastanesi - Fiziksel Tıp ve Rehabilitasyon Kliniği, Türkiye , SOYLU BOY, Fatma Nur Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi - Radyoloji Kliniği, Türkiye , BOZKURT ALP, Selin Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi - Fiziksel Tıp ve Rehabilitasyon Kliniği, Türkiye , AKTAŞ, İlknur Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi - Fiziksel Tıp ve Rehabilitasyon Kliniği, Türkiye

A patient presenting with frozen shoulder and diagnosed as breast cancer

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Adhesive capsulitis (frozen shoulder) is characterized by limitation of active and passive shoulder motions and severe pain. It is selflimiting and resolves in months when there is no underlying pathology. Adhesive capsulitis may be idiopathic but usually secondary to shoulder lesions. Diabetes, Parkinsonism, cardiac, thyroid, respiratory diseases and malignancy may coexist. We report a patient presenting with adhesive capsulitis and diagnosed as breast cancer. A 54–year-old female admitted with bilateral shoulder pain and limitation of motion. The pain began 8 months ago, and the patient had physical therapy which worsened the symptoms. On physical examination, the shoulder range of motions were limited at all planes. Subacromial injection test was negative. Roentgenograms were normal, shoulder magnetic resonance imaging (MRI) revealed bicipital tendinitis on the left. Complete blood count, acute phase reactants and biochemical analyses were normal. Her detailed medical history revealed that she had fibrocystic breast disease and was unable to have the last mammography because of the limitation of the shoulders. Therefore, MRI examination of the breasts was performed and a mass lesion was detected on the right. Biopsy of the lesion revealed invasive ductal carsinoma. Malignancy should always be considered in the differential diagnosis of adhesive capsulitis. Detailed history and systemic evaluation helps to clarif the underlying pathology.

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Adhesive capsulitis , Breast cancer , Frozen shoulder , Malignacy

Marmara Medical Journal

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