Pancoast tumour

Case contributed by Dr Ian Bickle

Presentation

40 pack year history of smoker. Chest pain and weight loss.

Patient Data

Age: 75
Gender: Female
Modality: X-ray

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

Right lung clear.

Case Discussion

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

This case underwent subsequent CT imaging which identified metastatic lung cancer.

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Case Information

rID: 33219
Case created: 4th Jan 2015
Last edited: 11th Sep 2015
System: Chest
Tag: rdgh
Inclusion in quiz mode: Included

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