title: Atypical Chest Pain: An Unusual Presentation of Spinal Metastasis due to Penile Carcinoma.
abstract: Spinal metastases may present in a myriad of ways, most commonly back pain with or without neurology. We report an unusual presentation of isolated atypical chest pain preceding metastatic cord compression, secondary to penile carcinoma. Spinal metastasis from penile carcinoma is rare with few cases reported. This unusual presentation highlights the need for a heightened level of clinical suspicion for spinal metastases as a possible cause for chest pain in any patients with a history of carcinoma. The case is discussed with reference to the literature.
authors.affiliation: Trauma and Orthopaedics Department, Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Pywell
authors.affiliation: Neurosurgery Department, Royal London Hospital, Whitechapel Road, London E11BB, UK.
authors.forename: Shumaila
authors.identifier: 0000-0002-0158-703X
authors.initials: S
authors.lastname: Hasan
authors.affiliation: Trauma and Orthopaedics Department, Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, UK.
authors.forename: Mohammad Zain
authors.identifier: 0000-0001-6362-6703
authors.initials: MZ
authors.lastname: Sohail
authors.affiliation: Trauma and Orthopaedics Department, Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, UK.
authors.forename: Georgios
authors.identifier: 0000-0002-9241-3907
authors.initials: G
authors.lastname: Mamarelis
authors.affiliation: Trauma and Orthopaedics Department, Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, UK.
authors.forename: Cameron
authors.initials: C
authors.lastname: Dott
authors.affiliation: Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
authors.forename: Mohammad Taimur
authors.initials: MT
authors.lastname: Khan
authors.affiliation: Trauma and Orthopaedics Department, Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, UK.
authors.forename: Naveethan
authors.initials: N
authors.lastname: Sivanadarajah