“…The clinical presentation of SPR varies significantly. The most common symptom is pain due to progression of osteoclasia or oncothlipsis [ 8 , 9 , 11 , 12 , 14 , 15 , 21 , 23 , 25 ], but some cases are asymptomatic and found based on a chest mass during physical examinations [ 13 , 14 , 17 , 19 , 20 ]. Other chief complaints include limb weakness [ 16 , 22 ], Horner’s syndrome [ 24 ], and axillary lymphadenectasis [ 18 ].…”