Case Fifty-Six
Images:

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Case Summary

Diagnosis:  Pancoast Tumor


Clinical hints:

Apical tumors may invade the brachial plexus, SVC, sympathetic chain, esophagus, and trachea , and destroy ribs. The complex is called "Pancoast's Syndrome".


Radiological Pearls:
  • apical lung mass
     
  • often rib or local bony destruction
     
  • venogram or UGI studies useful
     
  • CT and MRI show brachial plexus invasion.
     

Films were kindly provided by Dr. W. J. Weiser.

 

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