The biggest characteristic of shoulder tumors is that they cause shoulder and back pain. There are many factors that lead to this disease, the most serious of which are bone tumors or metastasis of other tumors. Therefore, we need to have a comprehensive understanding of the main diseases, make a comprehensive judgment based on our own situation, and go to the hospital for examination in time. Let’s take a look at the symptoms of shoulder tumors. Causes and common diseases 1. Respiratory diseases Shoulder and back pain caused by respiratory diseases is generally in the back, side back or scapula. Common diseases include pleural adhesions, lung cancer and tuberculosis. 2. Circulatory system diseases Shoulder and back pain caused by cardiovascular disease. The most common are angina pectoris and myocardial infarction. 3. Digestive system diseases Shoulder and back pain caused by digestive system diseases, common ones include biliary colic, pancreatic disease, stomach and duodenal tumors, etc. 4. Bone tumor or organ tumor metastasis Bone tumors or tumors of other organs, such as the kidney, bladder, uterus, lung, etc., metastases to the scapula, vertebral bones, and ribs can cause shoulder and back pain. Differential Diagnosis 1. Shoulder and back muscle pain Shoulder and back muscle pain may be caused by cervical spondylosis or lumbar myofasciitis. 2. There is a vague numbness and discomfort in the back A dull tingling pain in the back may be caused by neuralgia. Pain is one of the common symptoms in neurology. This type of pain is felt without external stimulation and is also called spontaneous pain. There are many types of spontaneous pain, which can be divided into peripheral neuralgia and central neuralgia according to the location of the lesion. 3. Respiratory diseases Key points for identification: ① Shoulder and back pain are often accompanied by respiratory system symptoms and signs. ②Pain in shoulders and back intensifies when breathing. ③Spinal examination showed no lesions, no restriction of movement, and no local tenderness. ④Chest imaging examination may reveal lung or pleural lesions. 4. Circulatory system diseases Key points for identification: ① The pain is mostly located behind the sternum or in front of the heart, and may radiate to the shoulder. ② It is often triggered or aggravated by physical activity and improves after rest. ③The pain is often short-lived and transient. The pain can be quickly relieved or disappear after the use of vasodilators and oxygen inhalation. ④ During an attack, electrocardiogram examination may reveal myocardial ischemia changes. 5. Digestive system diseases Key points for identification: ① The pain usually has a fixed location. For example, biliary colic often involves the right chest and back; pancreatic disease often involves the left waist and back; gastric and duodenal tumors or penetrating ulcers often involve the middle back. ②Pain attacks are often related to dietary factors. ③Ultrasound and gastrointestinal angiography can confirm the diagnosis. 6. Bone tumor or organ tumor metastasis Key points for identification: ① Generally, the primary disease can be traced back to the surgical history of the primary lesion. ②The pain symptoms continue to worsen, and some patients can feel a lump. ③X-ray examination can reveal cancerous osteolysis or bone space-occupying lesions in the shoulder and back. |
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