{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:00:50Z","timestamp":1777726850981,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>Cervical radiculopathy, with an incidence of approximately 85 per 100,000 individuals annually, is characterized by pain originating from cervical nerve root disruption. Accurate diagnosis is challenging because of the absence of a universally accepted gold standard, necessitating reliance on patient history, clinical examination, and diagnostic tests. Brachial plexus metastasis is a rare but clinically significant condition that can mimic common musculoskeletal disorders, such as cervical radiculopathy. Its nonspecific presentation often results in delayed diagnosis, particularly in patients with cancer presenting with persistent upper-limb pain. This case report explored the underdiagnosis of supraclavicular brachial plexus metastasis, initially misinterpreted as cervical disc herniation in a 62-year-old man with a history of lung cancer. Despite undergoing cervical-Racz catheter neuroplasty and other treatments, the patient\u2019s persistent right arm pain prompted further investigations. Chest computed tomography and positron emission tomography computed tomography ultimately revealed metastatic squamous cell carcinoma extending to the brachial plexus. This case underscores the critical need for comprehensive diagnostic evaluations and the consideration of metastatic neoplasms in patients with a history of cancer. It also highlights the rarity and clinical significance of brachial plexus metastasis. It emphasizes the importance of an integrated approach to care, addressing both oncological and musculoskeletal issues to improve patient outcomes.<\/jats:p>","DOI":"10.1177\/03000605251370330","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T23:27:54Z","timestamp":1756510074000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Misdiagnosis of supraclavicular brachial plexus metastasis as cervical disc herniation: A lung cancer case report"],"prefix":"10.1177","volume":"53","author":[{"given":"Eun Hwa","family":"Jun","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, St. Vincent\u2019s Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0249-4190","authenticated-orcid":false,"given":"So Young","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, St. Vincent\u2019s Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000249223.51871.C2"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-2500.2009.00319.x"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.107675"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v10.i33.12261"},{"key":"e_1_3_7_6_2","first-page":"20150410","article-title":"Brachial metastatic plexopathy as the inaugural manifestation of lung cancer: multimodality imaging","volume":"2","author":"Coulier B","year":"2016","unstructured":"Coulier B, Van Cutsem O, Mailleux P, et\u00a0al. 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Oncology (Williston Park) 1995; 9: 756\u2013760; discussion 765.","journal-title":"Oncology (Williston Park)"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.2967\/jnumed.116.189183"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2015.242"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.937052"},{"key":"e_1_3_7_17_2","first-page":"e34821","article-title":"Lung cancer with vertebral metastases presenting as low back pain in the chiropractic office: A case report","volume":"15","author":"Chu EC","year":"2023","unstructured":"Chu EC, Trager RJ, Lee WT, et\u00a0al. Lung cancer with vertebral metastases presenting as low back pain in the chiropractic office: A case report. 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