Pancoast syndrome: Difference between revisions
Elcatracho (talk | contribs) (Created page with "==Background== *Syndrome resulting from compression of extrathoracic structures by Pancoast tumor (aka superior sulcus tumor) *Majority are squamous cell carcinomas or pulmona...") |
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*Syndrome resulting from compression of extrathoracic structures by Pancoast tumor (aka superior sulcus tumor) | *Syndrome resulting from compression of extrathoracic structures by Pancoast tumor (aka superior sulcus tumor) | ||
*Majority are squamous cell carcinomas or pulmonary adenocarcinomas | *Majority are squamous cell carcinomas or pulmonary adenocarcinomas | ||
*Symptoms arise from compression of the sympathetic chain and brachial | *Symptoms arise from compression of the sympathetic chain and brachial plexus | ||
==Clinical Features== | ==Clinical Features== | ||
*Shoulder pain most common initial symptom<ref>Arcasoy SM, Jett JR. Superior pulmonary sulcus tumors and Pancoast's syndrome. N Engl J Med. 1997;337(19):1370-1376. doi:10.1056/NEJM199711063371907</ref> | *Shoulder pain most common initial symptom<ref>Arcasoy SM, Jett JR. Superior pulmonary sulcus tumors and Pancoast's syndrome. N Engl J Med. 1997;337(19):1370-1376. doi:10.1056/NEJM199711063371907</ref> | ||
*[[Horner syndrome]] | *[[Horner syndrome]] | ||
*Ipsilateral arm and hand weakness, parasthesias, and atrophy (from compression of brachial plexus) | *Ipsilateral arm and hand weakness, parasthesias, and atrophy (from [[brachial plexopathy|compression of brachial plexus]]) | ||
*May result in congestion from compression of subclavian vessels | *May result in congestion from compression of subclavian vessels | ||
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==Evaluation== | ==Evaluation== | ||
[[File:Pancoast Tumor 1.jpg|thumb|Chest X-ray showing a Pancoast tumor (labeled as P, non-small cell lung carcinoma, right lung).]] | |||
[[File:Pancoast Tumor 2.jpg|thumb|CT scan showing a Pancoast tumor (labeled as P, non-small cell lung carcinoma, right lung).]] | |||
===Workup=== | ===Workup=== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Heme/Onc]] | |||
Latest revision as of 06:10, 27 November 2021
Background
- Syndrome resulting from compression of extrathoracic structures by Pancoast tumor (aka superior sulcus tumor)
- Majority are squamous cell carcinomas or pulmonary adenocarcinomas
- Symptoms arise from compression of the sympathetic chain and brachial plexus
Clinical Features
- Shoulder pain most common initial symptom[1]
- Horner syndrome
- Ipsilateral arm and hand weakness, parasthesias, and atrophy (from compression of brachial plexus)
- May result in congestion from compression of subclavian vessels
Differential Diagnosis
Evaluation
Workup
Diagnosis
Management
Disposition
See Also
External Links
References
- ↑ Arcasoy SM, Jett JR. Superior pulmonary sulcus tumors and Pancoast's syndrome. N Engl J Med. 1997;337(19):1370-1376. doi:10.1056/NEJM199711063371907