Pancoast syndrome

Background
  • Syndrome resulting from compression of extrathoracic structures by Pancoast tumor (aka superior sulcus tumor)
  • Majority are squamous cell carcinomas or pulmonary adenocarcinomas
  • Symptoms arise from compression of the sympathetic chain and brachial plexus

Clinical Features
  • Shoulder pain most common initial symptom[1]
  • Horner syndrome
  • Ipsilateral arm and hand weakness, parasthesias, and atrophy (from compression of brachial plexus)
  • May result in congestion from compression of subclavian vessels

Differential Diagnosis


Evaluation

Management


Disposition


See Also



References
  1. Arcasoy SM, Jett JR. Superior pulmonary sulcus tumors and Pancoast's syndrome. N Engl J Med. 1997;337(19):1370-1376. doi:10.1056/NEJM199711063371907
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