Diagnosis of Pancoast's Tumor

Authors

  • Elizabeth Pérez Velázquez Hospital General Docente “Dr. Ernesto Guevara de la Serna” Las Tunas.
  • Delmairis Reyes Góngora Hospital General Docente “Dr. Ernesto Guevara de la Serna” Las Tunas.
  • Mayelin Suárez Tristá Hospital General Docente “Dr. Ernesto Guevara de la Serna” Las Tunas.

Keywords:

LUNG NEOPLASMS, PANCOAST SYNDROME

Abstract

Pancoast’s tumor has a specific form to present, with pain in the arm and shoulder. It is a frequent cause of orthopedic consultation and, when not assessed as a possible lung cancer, the diagnosis may be delayed. This study describes the case of a 71-year-old woman, with a history of smoking and hypertension that came to see the doctor complaining of pain in the right shoulder, paresthesia and a decrease of the strength of the upper right limb, as well as palpebral ptosis in the right eye, cough, anorexia and weight loss. After radiological tests and thorax CT scan, a great tumoral mass was found in the upper lobe and apex of the right lung. The histological results of the aspiration puncture of the mass showed a non-small cell carcinoma. The patient was referred to the oncology service to be provided with a course of chemotherapeutic treatment.

Downloads

Download data is not yet available.

Author Biographies

Elizabeth Pérez Velázquez, Hospital General Docente “Dr. Ernesto Guevara de la Serna” Las Tunas.

Especialista de Primer Grado en Neumotisiología. Máster en Enfermedades Infecciosas.

Profesora Asistente. Universidad de Ciencias Médicas de Las Tunas

Delmairis Reyes Góngora, Hospital General Docente “Dr. Ernesto Guevara de la Serna” Las Tunas.

Especialista de Primer Grado en Neumotisiología y Medicina General Integral.

Mayelin Suárez Tristá, Hospital General Docente “Dr. Ernesto Guevara de la Serna” Las Tunas.

Especialista de Primer Grado en Cirugía General y Medicina General Integral.

References

Rebecca Siegel, Jiemin Ma, Zhaohui Zou, Ahmedin Jemal. Cancer Statistics. CA: A Cancer Journal for Clinicians [revista en internet]. 2014 [citado 14 de julio 2016]; 64(1): 9–29. Disponible en: http://onlinelibrary.wiley.com/doi/10.3322/caac.21208/full.

Puma R, Huerta D, Gallardo A, Clerici M. Tumor de pancoast o tumor del surco pulmonar superior. Presentación de caso y revisión de la literatura. Revista Argentina De Residentes De Cirugía [revista en internet]. 2015, Enero [citado 14 de julio 2016]; 20(1): 20-23. Disponible en: MedicLatina.

Pancoast HK. Importance of careful roentgen-ray investigations of apical chest tumors. JAMA [revista en internet]. 1924 [citado 14 de julio 2016]; 83(18): 1407-11. Disponible en: http://jama.jamanetwork.com/article.aspx?articleid=232420.

Sardiñas Yanes O, De Oliveira Marcelino Teresa C, Licea González AE, Hernández Pineda H. Tumor de pancoast presentación de un caso. Rev. Haban. Cienc. méd [revista en internet]. 2012, Jun [citado 14 de Julio 2016]; 11(2): 237-244. Disponible en: http://www.bvs.sld.cu/revistas/rhab/vol_11_2_12/rhcm08212.htm.

Hermida J A, BermejoA, Hernández JS Arroyo R. Tumor del vértice pulmonar derecho que produce un síndromede Pancoast. Descripción de un caso clínico. Semergen [revista en internet]. 2012 [citado 14 de Julio 2016]; 38(2): 111-114. Disponible en: http://www.elsevier.es/es-revista-semergen-medicina-familia-40-pdf-90108505-S300.

Sunil D’Souza R. Pancoast’stumour presenting as shoulder pain in an orthopaedicclinic. BMJ Case Rep [revista en internet]. 2013 [citado 14 de Julio 2016]; 2013(2013). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604467/.

Diaz Regí Bosque M, Villar Balboa I. Cervicobraquialgia: síntoma inicial del Síndrome de Pancoast. RevClinMedFam [revista en internet]. 2013, Feb [citado 14 de julio 2016]; 6(1): 51-53. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2013000100010&lng=es. http://dx.doi.org/10.4321/S1699-695X2013000100010.

ForoulChN, ZarogoulidisP, Darwiche K, KatsikogiannisN, MachairiotiN, KarapantzosJ,etal. Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment. JThorac Dis [revista en internet]. 2013 [citado 14 de julio 2016]; 5(Suppl4): 342-358. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24102007.

PeedellC, Dunning J, Bapusamy A. Is there a standard of care for the radical management of non-small cell lung cancer involving the apical chest wall (Pancoasttumours)? ClinOncol (R CollRadiol) [revista en internet]. 2010 [citado 14 de julio 2016]; 22(5): 334–346. Disponible en: http://www.sciencedirect.com/science/article/pii/S0936655510000828.

Downloads

Published

2016-07-13

How to Cite

1.
Pérez Velázquez E, Reyes Góngora D, Suárez Tristá M. Diagnosis of Pancoast’s Tumor. Rev. electron. Zoilo [Internet]. 2016 Jul. 13 [cited 2025 Sep. 11];41(8). Available from: https://revzoilomarinello.sld.cu/index.php/zmv/article/view/853

Issue

Vol. 41 No. 8 (2016): August

Section

Case reports

License

This journal provides free and immediate access to its content under the principle that making research freely available to the public supports a greater exchange of global knowledge. This means that the authors transfer the copyright to the journal, so that copies and distribution of the contents can be made by any means, as long as the authors' acknowledgment is maintained. These terms are a reflection that the journal assumes copyright under Creative Commons licenses, specifically under a Creative Commons Attribution 4.0 International license.

Registration and submission of articles to the journal is free. The processing, including review, editing and publication, is completely free of charge.