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Results for “Pancoast Syndrome”

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At least 19 recordsLinked to original sources

Pancoast syndrome: an unusual presentation of adenoid cystic carcinoma.

We report on a patient with primary pulmonary adenoid cystic carcinoma presenting with Pancoast syndrome. Pancoast syndrome has not previously been described with this tumour. Other unusual features of this case include the peripheral origin and mediastinal involvement, with lack of proximal endobronchial spread.

Adult↗

Pancoast syndrome in a patient with malignant lymphoma.

Pancoast syndrome is usually secondary to lung cancer. We report a patient with Pancoast syndrome in whom a biopsy specimen of a cervical mass at first thought to be anaplastic carcinoma was found to stain positively for leukocyte common antigen and negatively for keratin, epithelial membrane antigen, and alpha-fetoprotein. A diagnosis of malignant lymphoma associated with Pancoast syndrome was made, and a salutary response was observed after combination chemotherapy. To our knowledge, this is the first reported case of Pancoast syndrome associated with malignant lymphoma. We emphasize the importance of using immunohistochemical stains to define the pathologic condition in difficult cases.

Aged↗

[Pancoast syndrome and endobronchial tumor infiltration as the first manifestation of Hodgkin lymphoma].

The most common cause of Pancoast syndrome is bronchogenic carcinoma. Other less common causes are solid tumor metastases, other chest tumors, infections, and hematologic neoplasms. Pancoast syndrome due to lymphoma is very rare, and cases described in the literature are essentially associated with non-Hodgkin lymphomas. In a review of the literature we found a single case of Pancoast syndrome secondary to a Hodgkin lymphoma; however, the syndrome manifested during recurrence of disease in that patient. We report a case of nodular sclerosis Hodgkin lymphoma which first manifested clinically as Pancoast syndrome and which was initially diagnosed by bronchial biopsy.

Bronchial Neoplasms↗

Assessment of vascular involvement with magnetic resonance angiography (MRA) in Pancoast syndrome.

The purpose of this study was to evaluate the diagnostic value of MRA in determining vascular involvement in bronchogenic carcinoma with Pancoast syndrome. Six patients with Pancoast syndrome were investigated preoperatively by means of MRA. Following standard spin-echo MR imaging in the axial and coronal planes, two successive two-dimensional (2D) time-of-flight acquisitions were obtained in the axial plane, the first with venous, the second with arterial presaturation. MRA data were compared to angiographic data in four cases, and to surgical findings in all six cases. MRA demonstrated displacement (n = 2) and encasement (n = 2) of subclavian and/or brachiocephalic arteries, and encasement or occlusion of subclavian and/or right brachiocephalic vein (n = 3). Close correlation between MRA, angiography and surgery was obtained. These preliminary results suggest that MRA is a noninvasive diagnostic method complementary to MR imaging for detecting vascular involvement in bronchogenic carcinoma with Pancoast syndrome.

Adult↗

Pancoast syndrome caused by extramedullary plasmacytoma.

A 61-year-old patient had the clinical findings of Pancoast syndrome with shoulder pain, weakness and atrophy of band muscles, and an opacified area in the apical lung field. Unlike most cases with Pancoast syndrome in which the tumors are primary carcinomas of the lung, the present case was shown to have a plasmacytoma involving the apical parietal pleura and the adjacent chest wall. The need for histologic diagnosis before treating patients with Pancoast syndrome is emphasized.

Humans↗

Pancoast syndrome: an unusual complication of pulmonary infection by Staphylococcus aureus.

Pancoast syndrome, which comprises a lower brachial plexus lesion and Horner's syndrome, usually results from local invasion beyond the confines of the lung by an apical lung carcinoma. Other causes are rare. We report the unusual occurrence of a case of Pancoast syndrome caused by a destructive sclerosing fibrosis after pulmonary Staphylococcus aureus infection.

Adult↗

[Pancoast syndrome caused by lung tuberculosis].

Pancoast's syndrome arises from neoplasms in 95% of cases but infection is a rare cause. We describe a patient with Pancoast's tumor secondary to tuberculosis. Pain caused by plexopathy and lack of diagnosis by noninvasive means led to the need for open biopsy.

Humans↗

[Pancoast syndrome in a patient with malignant lymphoma arising from the pleura].

A 79-year-old man was admitted to the hospital because of left shoulder pain. He presented with signs and symptoms typical of Pancoast syndrome. A chest roentgenogram and computed tomogram revealed a mass lesion that was connected to old pleural thicking due to tuberculosis in the left superior sulcus. A cervical lymph node biopsy was done and non-Hodgkin's lymphoma was diagnosed. Chemotherapy was effective but the patient died of severe pneumonia. Pancoast syndrome associated with malignant lymphoma is very rare. Care must be taken in the management of patients with shoulder pain, chest pain, and old pleural tuberculosis.

Aged↗

Non-Hodgkin's lymphoma presenting as Pancoast's syndrome.

Pancoast's syndrome is generally caused by primary or metastatic epithelial tumors. Other causes of the syndrome are unusual but well described. The present case report describes a rare case of Pancoast's syndrome caused by non-Hodgkin's lymphoma. This report emphasises the importance of establishing a firm pathologic diagnosis of the etiology of Pancoast's syndrome before instituting treatment.

Adult↗

[Subclavian arteriography in Pancoast syndrome. Case report (author's transl)].

A case of Pancoast's syndrome is reported, where subclavian arteriography was the only useful diagnostic procedure to make a diagnosis possible. Utilization and meaning of such a diagnostic technique is discussed, since the typical radiological picture of the syndrome may be lacking, especially in the early stage of the disease. Subclavian arteriography explores th costal-pleuro-vertebral space selectively, being aimed to one of the anatomical structure, the mechanical engagement of which is responsible of the syndrome. Such a technique is advisable even in cases where the Pancoast's syndrome is sustained by an infrequent aetiology, such as metastases.

Carcinoma, Squamous Cell↗