Left shoulder blade pain is mostly related to frozen shoulder, heart disease, lung disease, etc. Bone metastasis of pancreatic cancer can show scapular pain, but it is rare in clinic. Pancreatic cancer is a kind of digestive malignant tumor with insidious onset, rapid progression, poor treatment effect and prognosis. Pancreatic cancer has insidious onset, early diagnosis is difficult, and most of the patients are already in the middle or late stage when they are diagnosed. Depending on the location and size of the tumor, the affected organs and their severity, pancreatic cancer patients may show epigastric or back pain, nausea, abdominal distension, jaundice, new-onset diabetes mellitus, weight loss and changes in stool characteristics, etc. Occasionally, acute pancreatitis is seen as the main manifestation of the patients. If scapular metastasis occurs in pancreatic cancer, left scapular pain may occur, but it is rare in clinic. However, there are many causes of left scapular pain, which need to be identified, such as: 1. Frozen shoulder. Due to the local muscle chronic strain, will lead to the occurrence of frozen shoulder, hair in the left side, can appear in the left side of the scapula pain, limited activities and other symptoms. 2. Heart disease. Left shoulder blade pain should also be alert to the possibility of heart disease, such as myocardial infarction or angina pectoris, etc., in addition to panic, tingling in the precordial area, there may also be left shoulder blade pain. 3. Lung disease. Lung diseases such as pleurisy or lung cancer, etc., may also appear on one side of the scapula pain phenomenon. In conclusion, if you feel uncomfortable or suspect pancreatic cancer, it is recommended to go to a regular hospital for comprehensive assessment of the condition and follow the doctor’s instructions for treatment to avoid delays.