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NEUROLOGY 2006;66:1760-1762
© 2006 American Academy of Neurology
Brief Communications

Axillary pain as a heralding sign of neoplasm involving the upper thoracic root

Devon I. Rubin, MD and Elizabeth A. Shuster, MD

From the Department of Neurology, Mayo Clinic, Jacksonville, FL.

Address correspondence and reprint requests to Dr. Devon I. Rubin, Department of Neurology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224; e-mail: rubin.devon{at}mayo.edu

The authors report four patients with upper thoracic radiculopathies presenting with axilla pain. All patients had a malignancy affecting the upper thoracic nerve roots. Electrodiagnostic testing demonstrated abnormalities in the upper thoracic nerve root distribution; imaging demonstrated neoplasms. Pain in the armpit that is severe or progressive may be indicative of a malignant pathology, and evaluation should target the upper thoracic roots.

Disclosure: The authors report no conflicts of interest.

Received November 14, 2005. Accepted in final form February 20, 2006.






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