2014, Cilt 27, Sayı 3, Sayfa(lar) 220-222
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A patient presenting with frozen shoulder and diagnosed as breast cancer
Feyza ÜNLÜ ÖZKAN1, Işıl ÜSTÜN2, Fatma Nur SOYLU BOY3, Selin BOZKURT ALP1, İlknur AKTAŞ1
1Fiziksel Tıp ve Rehabilitasyon Kliniği, Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye
2Fiziksel Tıp ve Rehabilitasyon Kliniği, Bağcılar Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye
3Radyoloji Kliniği, Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye
Anahtar Kelimeler: Adhesive capsulitis, Breast cancer, Frozen shoulder, Malignacy

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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