Superior sulcus tumor

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain


Right shoulder pain

Patient Data

Age: 55 years
Gender: Male

Well-defined enhanced mass is seen at posterior segment of right upper lobe with invasion into upper mediastinum. Right brachiocephalic vein and right subclavian artery encased by tumor. Fat plane between esophagus and tumor seems to be obliterated. Parenchymal nodules in the same lobe and other lobes. Mediastinal lymphadenopathy. 

Case Discussion

The findings are consistent with Pancoast tumor (superior sulcus tumor). 

Histology: non-small cell lung cancer (NSCLC)

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