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Pancoast Tumor

Daniel A. Ermann, MD, Mridula Krishnan, MBBS and Carrie Valenta, MD, FACP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Pancoast tumors, or superior sulcus tumors, refer to a unique subset of lung carcinomas.

  • These bronchogenic carcinomas are characteristically located in the apex of the lung and invad...

DIAGNOSIS

HISTORY

  • Because of their peripheral location, common symptoms of lung carcinoma (including cough, hemoptysis, and dyspnea) may be absent until late stage disease. In the early stages of disea...

TREATMENT

GENERAL MEASURES

  • Pancoast tumors have shown historically poor survival rates and were previously considered to be inoperable and incurable.

  • Modern standard treatment for superior sulcus tumors...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Close patient follow-up at with proper history, physical exam, and plain film/CT imaging routinely 

PROGNOSIS

  • Complete resection as well as comple...

REFERENCES

1
Marulli G, Battistella L, Mammana M, et al. Superior sulcus tumors (Pancoast tumors). Ann Transl Med.  2016;4(12):239. [View Abstract on OvidMedline]
2
Foroulis CN, Zarogoulidis P, Darw...

ADDITIONAL READING

  • Kishan A, Syed S, Fiorito-Torres F, et al. Shoulder pain and isolated brachial plexopathy. BMJ Case Rep.  2012;2012.

  • Marra A, Eberhardt W, Pöttgen C, et al. Induction chemothera...

CODES

ICD10

  • C34.10 Malignant neoplasm of upper lobe, unsp bronchus or lung

  • C34.11 Malignant neoplasm of upper lobe, right bronchus or lung

  • C34.12 Malignant neoplasm of upper lobe, left bronchus or lung

ICD9

CLINICAL PEARLS

  • Initial diagnosis may be delayed because the initial presentation of shoulder pain and ulnar neuropathy can be misdiagnosed as an orthopedic or neurologic disorder, and pulmonary sympt...

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