Pancoast tumour

Case contributed by Dr Ian Bickle

Presentation

40 pack-year smoking history. Chest pain and weight loss.

Patient Data

Age: 75
Gender: Female
X-ray

Large left apical lung mass (superior sulcus) without bony destruction. Right lung clear.

Case Discussion

Pancoast tumour is a specific term for a tumour at the lung apex, which when associated with Horner syndrome is termed Pancoast syndrome.  This relates to invasion of the brachial plexus from which its other name arises - superior sulcus tumour.

Subsequent CT demonstrated metastatic lung cancer.

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Case information

rID: 33219
Case created: 4th Jan 2015
Last edited: 14th Aug 2017
System: Chest
Tag: rdgh
Inclusion in quiz mode: Included

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