Pancoast syndrome: Difference between revisions
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*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 | ||
Revision as of 05:34, 21 April 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