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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:1814-1821 June 15, 2000 Number 24
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Case 18-2000— A 45-Year-Old Woman with a Thoracic Mass and Pancoast's Syndrome
Thomas F. Delaney, and G Petur Nielsen

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Presentation of Case

A 45-year-old woman was admitted to the hospital because of a mass at the apex of her right lung.

The patient had been well until three and a half years earlier, when she began to have paresthesias in the fourth and fifth fingers of her right hand. Six months later, she began to have intermittent pain in her right shoulder and arm. Nine months before admission, she noted anhidrosis on the right side of her face. Two months later, the pain in her shoulder and arm became progressively more severe and required repeated doses of analgesic agents. Radiographs revealed vertebral . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Thomas F. Delaney's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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