Pancoast syndrome

(Redirected from Pancoast Syndrome)

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

  1. 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