• Jeong-Se Noh, Dong Hyun Kim, Seong-Min Chun, and Yoon-Hee Choi.
• Department of Physical Medicine and Rehabilitation, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
• Palliat Med. 2021 Sep 1; 35 (8): 1629-1633.

BackgroundPain management is crucial in palliative care for patients with advanced cancer. Here, we report a case of shoulder pain in a patient with renal cell carcinoma.Case PresentationA 36-year-old male diagnosed metastatic renal cell carcinoma presented with pain and weakness on left shoulder for more than 6 months. Physical examination showed limited range of motion and atrophic changes on supraspinatus and infraspinatus muscles. Weakness in shoulder abduction and external rotation was also noted.Possible Courses Of ActionIn this case, suprascapular neuropathy, adhesive capsulitis of shoulder and metastatic lesions involving shoulder joint were suspected.Formulation Of A PlanWe planned imaging studies including X-ray, bone scan, magnetic resonance imaging, and electrodiagnostic studies.OutcomeImaging and electrodiagnostic studies showed suprascapular neuropathy by bone metastasis. Conservative treatment including injection and rehabilitation therapy reduced the patient's pain and improved the range of motion limitation.Lessons From The CaseClinicians should be aware that bone metastasis in patients with advanced cancer can cause suprascapular neuropathy, shoulder pain and shoulder dysfunction.View On Research Problems, Objectives, Or Questions Generated By The CaseMore research is expected on development of an early surveillance model, barriers to cancer pain management, communication from patients' perspectives.

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