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Pancoast Tumor (cont.)

Pancoast Tumor Pictures

A 53-year-old man with a 50-pack-per-year history of smoking began experiencing upper back pain for several weeks. The radiology image shows asymmetry of the lung apices (superior sulcus). The right apex is less transparent than the left. When the image is enlarged, the partially destroyed second and third right ribs of the back near the costovertebral junction can be seen.
A 53-year-old man with a 50-pack-per-year history of smoking began experiencing upper back pain for several weeks. The radiology image shows asymmetry of the lung apices (superior sulcus). The right apex is less transparent than the left. When the image is enlarged, the partially destroyed second and third right ribs of the back near the costovertebral junction can be seen.

Axial nonenhanced CT image of the upper rear spine demonstrates a soft tissue mass destroying the vertebra on the right and the right rear elements, including the pedicle and part of the posterior spinous process.
Axial nonenhanced CT image of the upper rear spine demonstrates a soft tissue mass destroying the vertebra on the right and the right rear elements, including the pedicle and part of the posterior spinous process.

Sagittal gradient-echo T2-weighted MRI demonstrates a soft tissue mass involving C7, T1, and T2, with collapse of the vertebrae and moderate cord compression.
Sagittal gradient-echo T2-weighted MRI demonstrates a soft tissue mass involving C7, T1, and T2, with collapse of the vertebrae and moderate cord compression.

REFERENCES:

Detterbeck, F.C. "Pancoast (superior sulcus) tumors." Ann Thorac Surg 63.6 June 1997: 1810-8.

D'Silva, Karl J. "Pancoast syndrome." Jan. 8, 2017. Medscape. <http://emedicine.medscape.com/article/284011-overview>.

Rosso, L., A. Palleschi, P. Mendogni, and M. Nosotti. "Video-assisted pulmonary lobectomy combined with transmanubrial approach for anterior Pancoast tumor resection: case report." J Cardiothorac Surg 11.1 Apr. 14, 2016: 65.

Torre, W., et al. "Role of surgery in a multidisciplinary approach to superior sulcus tumors (SST): morbidity and prognostic factors for long-term success after resection." Thorac Cardiovasc Surg 57.6 Sept. 2009: 353-7.


Medically Reviewed by a Doctor on 9/11/2017

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Read What Your Physician is Reading on Medscape

Pancoast Tumor »

In 1932, Pancoast defined a superior pulmonary sulcus tumor as a mass growing at the thoracic inlet that produces a constant and characteristic clinical presentation of pain in an eighth cervical or first and second thoracic trunk distribution.

Read More on Medscape Reference »


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