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Pancoast syndrome shoulder pain | detection and prediction
Pancoast
tumor - yet many have called superior sulcus tumors of the lung -
cancer of the first segment of the lung with Pancoast syndrome.
The
growing tumor can compress or sprout brachiocephalic vein
(brachiocephalica), subclavian artery (subclavicularis), phrenic nerve
(phrenicus), recurrent laryngeal nerve (laryngeus recurrens), vagus
nerve (vagus). Typically
sdavlevanie or germination of the stellate ganglion (ganglium
cervicotoracicum s. Stellatum), which causes symptoms of Horner's syndrome.
The
tumor is named in honor of Henry K. Pancoast (HK Pancoast, an American
radiologist, 1875-1939), who described it in 1924 (initially called
"apical tumor of the chest wall"), and then he's in 1932 (changing the
name to "tumor superior sulcus lung").
Pancoast syndrome symptoms:In
addition to the core symptoms of cancer, such as fever, malaise,
fatigue, weight loss - Pancoast tumor in severe cases may appear as
Horner's syndrome: ptosis (drooping of the upper eyelid), miosis (pupil
constriction), enophthalmos (retraction of the eyeball) and anhidrosis (
lack of sweating) on the affected side. When squeezed or tumor invasion right recurrent laryngeal nerve is observed hoarseness and a rough cough. With
the progression (germination of the tumor through the dome of the
pleura) also involved the brachial plexus, there is pain and weakness in
the shoulder joint and shoulder, forearm and hand.
Superior vena cava syndrome in her tumor obstruction manifested swelling of the face, cyanosis and veins of the head and neck. In the history of patients with Pancoast tumor is usually marked by a long period of smoking. Prolonged
smoking patients, the rapid emergence of clinical symptoms, pleural
pain suggest the presence of apical (apex) of the tumor. Pancoast
syndrome is sometimes confused with neurovascular disorders of the
thoracic inlet (Latin apertura thoracis superior, Eng. Thoracic outlet),
in particular, due to the so-called syndrome scalene muscle. Pancoast
syndrome suggests involvement in the pathological process of the
brachial plexus involvement of sympathetic fibers from the level of Th1
segment to the superior cervical ganglion (Latin ganglium cervicalis
superior) results in the appearance of Horner's syndrome. Pancoast tumor gives rise to the development of a Pancoast syndrome, and Horner's syndrome.
Good to know:
Pancoast
tumor - yet many have called superior sulcus tumors of the lung -
cancer of the first segment of the lung with Pancoast syndrome.
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