, Volume 25, Issue 7, pp 565-566
Date: 16 Jun 2005

Non-Hodgkin’s lymphoma among the gamut of differential diagnoses for shoulder pain

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To the editor,

For most adult patients with shoulder pain, complaints are related to degenerative or inflammatory joint disease, instability, impingement syndrome and trauma. A neoplasm is a rare cause of shoulder pain, but should always be considered in the differential diagnosis. Herein, we report a patient with shoulder pain who was later diagnosed to have a rare primary bone tumor—non-Hodgkin’s lymphoma (NHL).

A 36-year-old lady was referred to our center after she had been diagnosed as having a mass lesion in her left scapula when she had been evaluated for left shoulder pain. Physical examination was consistent with painful shoulder motions without any mass to palpation. Magnetic resonance imaging (MRI) demonstrated a mass lesion in the glenoid fossa (Fig. 1a, b). Excisional biopsy of the lesion revealed giant B-cell type NHL. She was then started on a combination regimen of cyclophosphamide, doxorubicin, vincristine and prednisolone for six cycles. Concomitant radiotherapy was als ...