Pancoast's syndrome is a constellation of characteristic symptomsand signs that includes shoulder and arm pain along the distributionof the eighth cervical nerve trunk and first and second thoracicnerve trunks, Horner's syndrome, and weakness and atrophy ofthe muscles of the hand, most commonly caused by local extensionof an apical lung tumor at the superior thoracic inlet.1,2,3These tumors are called superior pulmonary sulcus tumors orPancoast's tumors. Nearly 90 years after the first documentedcase,4 Pancoast described the clinical and radiologic findingsof thoracic-inlet tumors. Pancoast mistakenly believed thatthese tumors emanated from epithelial rests of . . . [Full Text of this Article]
Presentation
Cause
Radiologic Findings
Diagnosis
Staging and Preoperative Assessment
Treatment
Radiotherapy and Surgery
Chemotherapy
Survival and Prognosis
Source Information
From the Divisions of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh, Pittsburgh (S.M.A.); and the Division of Thoracic Diseases, Mayo Clinic, Rochester, Minn. (J.R.J.).
Address reprint requests to Dr. Arcasoy at the University of Pittsburgh, Division of Pulmonary, Allergy, and Critical Care Medicine, 440 Scaife Hall, 3550 Terrace St., Pittsburgh, PA 15261.
References
Related Letters:
Pancoast's Syndrome
Meyers D. S., Bosch X., Vera M., Tsao J. W., Garlin A. B., Marder S. R., Arcasoy S. M., Jett J. R.
Extract |
Full Text
N Engl J Med 1998;
338:765-766, Mar 12, 1998.
Correspondence
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