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Previous Volume 338:765-766 March 12, 1998 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: As Arcasoy and Jett (Nov. 6 issue)¹ suggest in their excellent review of Pancoast's syndrome, patients may present with supraclavicular lymph-node enlargement. The authors did not mention one shortcut to the diagnosis of this type of tumor. Fine-needle aspiration biopsy of enlarged supraclavicular lymph nodes or an ipsilateral supraclavicular fullness is a rapid, safe, and inexpensive means of diagnosis. When supraclavicular adenopathy is present, this approach can eliminate the need for more expensive and more invasive procedures.

David S. Meyers, M.D.
Oregon Medical Laboratories
Eugene, OR 97405

References

1. Arcasoy SM, Jett JR. Superior pulmonary sulcus tumors and Pancoast's syndrome. N Engl J Med 1997;337:1370-1376. [Free Full Text]

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