Flashcards in 40. Pancoast tumor (superior sulcus tumor) Deck (9):
Pancoast tumor is also called
superior sulcus tumor
pancoast lung cancer that invade cervical sympathetic chain
pancoast tumor ( superior sulcus tumor ) may cause
COmpression of locoregional structures :
1. Horner syndrome
2. Superio vena cava syndrome
4. sensorimotor deficits
pancoast tumor - horner - why
invades cervical sympathetic chain
Horner syndrome clinical findings
1. ipsilateral ptosis
• CT scan of the chest in a patient with dyspnea shows an apical lung mass. What neurologic structures are at risk of being compressed?
The cervical sympathetic plexus (this is a Pancoast tumor)
• When Pancoast tumor disrupts the cervical sympathetic plexus, it can result in what condition? What findings will be seen?
Horner syndrome; one sees ipsilateral ptosis, miosis, and anhidrosis
• A patient has cough, weight loss, and malaise. Exam shows ipsilateral eyelid droop, miosis, and no sweating. What does chest X-ray show?
Given the history, CXR will likely show an apical opacity characteristic of a Pancoast tumor