Pancoast (superior sulcus) tumour

Case contributed by Dr Khyati Vadera

Presentation

A 60 years old male chronic smoker presented with both upper limb weakness, breathlessness and hemoptysis since 2 months.

Patient Data

Age: 60 years
Gender: Male

There is a large ill defined space occupying lesion arising from superior sulcus of right upper lobe.  This appears heterogenously isointense-hypointense on T2WI, hyperintense with few hypointense areas of calcification/necrosis on T1WI, and hyperintense of STIR images encasing trachea, and pushing it to left.  Additionally it encases the right subclavian vessels, roots, trunks and divisions of right brachial plexus, invading the muscles and soft tissues of right supraclavicular region, destruction of cervical vertebral bodies and intervertebral disc spaces.

Case Discussion

Looking at the degree of invasion and imaging findings of the lesion the most likely diagnosis is a Pancoast's tumour / superior sulcus tumour.

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Case information

rID: 42771
Case created: 7th Feb 2016
Last edited: 9th Feb 2017
Systems: Oncology, Chest, Spine
Inclusion in quiz mode: Included

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