{"id":1981,"date":"2009-12-24T00:09:02","date_gmt":"2009-12-24T05:09:02","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=1981"},"modified":"2013-03-18T17:12:41","modified_gmt":"2013-03-18T21:12:41","slug":"pancoast-tumor-superior-sulcus-tumor","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2009\/12\/pancoast-tumor-superior-sulcus-tumor\/","title":{"rendered":"Pancoast Tumor (Superior Sulcus Tumor)"},"content":{"rendered":"
Pancoast tumor is:<\/p>\n
1)<\/strong> caused by growth of tumor in lung apex <\/p>\n 1)<\/strong> shoulder pain radiating down the arm <\/p>\n Radiology<\/em> – chest radiograph shows mass in apex of lung, pleural effusion, destruction of first and second ribs<\/p>\n Pancoast tumor is usually squamous cell carcinoma<\/p>\n obstructive pneumonia<\/p>\n 1)<\/strong> preoperative radation (30 Gy in 10 treatments) followed by en bloc resection of tumor and chest wall
\n2)<\/strong> extends into eighth cervical and first and second thoracic nerves
\n3)<\/strong> can also selectively affect the cervical sympathethic nerves<\/p>\nSigns and Symptoms<\/h4>\n
\n2)<\/strong> numbness in fourth and fifth fingers
\n3)<\/strong> weakness of intrinsic muscles of the hand
\n4)<\/strong> Horner’s syndrome on affected side
\n5)<\/strong> cough
\n6)<\/strong> hemoptysis
\n7)<\/strong> dyspnea
\n8)<\/strong> chest pain<\/p>\nCharacteristic Test Findings<\/h4>\n
Histology\/Gross Pathology<\/h4>\n
Associated Conditions<\/h4>\n
Treatment<\/h4>\n
\n2)<\/strong> higher doses of radiation as single modality<\/p>\nTips for USMLE<\/h4>\n