868 results match your criteria Pancoast Tumor


[Do we inspecting the patient face who has shoulder pain?]

Agri 2020 Apr;32(2):109-112

Division of Algology, Department of Neurology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.

A Pancoast or superior sulcus tumor is a rare, bronchogenic carcinoma. In the early period, shoulder pain is the most common symptom. In this case, the patient had presented with complaints of shoulder and arm pain at other outpatient clinics and was examined primarily for musculoskeletal causes and radiculopathy. Read More

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http://dx.doi.org/10.5505/agri.2018.14892DOI Listing

A minimally invasive and safe surgical approach to resect anterior superior sulcus tumors.

Int J Surg Case Rep 2020 28;68:148-150. Epub 2020 Feb 28.

Thoracic Surgery, Kokura Memorial Hospital, Kitakyushu-shi, Japan.

Introduction: Superior sulcus tumors (SSTs) are a wide range of tumors invading a section of the apical chest wall called the thoracic inlet. The unique characteristics of SSTs lie in the anatomy of the region where these tumors occur. For this reason, a surgical approach to treating these tumors is technically demanding, and complete resection may be difficult to accomplish. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058854PMC
February 2020

Significant prognostic determinants in lung cancers of the superior sulcus: comparable analysis of resected and unresected cases.

Gen Thorac Cardiovasc Surg 2020 Mar 3. Epub 2020 Mar 3.

Department of Thoracic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.

Objective: In this study, we aimed to identify prognostic determinants and to comparably analyze clinical features of patients with both resected and unresected superior sulcus tumors (SSTs).

Methods: The data of 56 patients who underwent any treatment for an SST from 2004 through 2016 in our hospital were reviewed. Overall survival (OS) rates were estimated using the Kaplan-Meier method. Read More

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http://dx.doi.org/10.1007/s11748-020-01322-5DOI Listing

T1 Erector Spinae Plane Block Catheter As a Novel Treatment Modality for Pancoast Tumor Pain.

Cureus 2019 Nov 7;11(11):e6092. Epub 2019 Nov 7.

Anesthesiology, University of Alabama, Birmingham, USA.

Pancoast tumors are non-small cell lung tumors, which can invade the ribs, vertebrae, sympathetic ganglia and brachial plexus. In this study, a patient with right-sided Pancoast tumor presented with intractable chronic pain on the right neck, upper extremity and chest wall. The chronic pain associated with Pancoast tumor, which was difficult to treat with opioids and other medications, was effectively treated with a high-thoracic erector spinae plane block (ESPB). Read More

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http://dx.doi.org/10.7759/cureus.6092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6897352PMC
November 2019

Harlequin sign in Pancoast tumor.

Curr Probl Cancer 2020 Apr 1;44(2):100506. Epub 2019 Nov 1.

Division of Hematology and Medical Oncology, Department of Medicine, University of Louisville, Louisville, Kentucky. Electronic address:

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http://dx.doi.org/10.1016/j.currproblcancer.2019.100506DOI Listing

Superior sulcus tumor disguised as cervical radiculopathy with metastasis to brachial plexus.

Proc (Bayl Univ Med Cent) 2019 Oct 20;32(4):582-583. Epub 2019 Aug 20.

Department of Orthopedic Surgery, Baylor University Medical CenterDallasTexas.

A 74-year-old man presented to an orthopedic spine surgeon with signs and symptoms consistent with cervical radiculopathy. Investigation revealed metastasis of a Pancoast tumor to the patient's brachial plexus. A year after initial diagnosis, the patient achieved full neurological function of his left arm. Read More

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http://dx.doi.org/10.1080/08998280.2019.1647737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6793980PMC
October 2019

[Surgical Treatment for Apical Invading Lung Cancer].

Kyobu Geka 2019 Sep;72(10):840-844

Department of General Thoracic Surgery, Dokkyo Medical University, Tochigi, Japan.

The apical invading lung cancer is the tumor infiltrating to the thoracic inlet, in other words, the 1st rib or the higher chest wall. Tumor arising in the posterior apex is invasive to the vertebral body, the sympathetic trunk, and the brachial plexus. Pancoast tumor is well known with typical triads, which is invasive to the sympathetic trunk and the brachial plexus in the posterior apex of the lung. Read More

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September 2019
1 Read

Huge maxillary metastasis of an aggressive Pancoast tumor -A case report.

Caspian J Intern Med 2019 ;10(3):351-355

Student. Research Committee, Babol University of Medical Science, Babol, Iran.

Background: Metastatic carcinomas to the upper jaw region are very rare and unfortunately occur in advanced stages of malignancies. Pancoast tumor is a challenging subset of lung carcinoma commonly followed by distant metastasis. Since the metastatic lesion of our patient was very huge and unusual, we decided to report the case. Read More

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http://dx.doi.org/10.22088/cjim.10.3.351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6729146PMC
January 2019
1 Read

Pancoast tumour: current therapeutic options.

Clin Ter 2019 Jul-Aug;170(4):e291-e294

Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo.

Background: Pancoast's syndrome is caused by malignant neoplasm of superior sulcus of the lung which produces destructive lesions of thoracic inlet and comes along with the involvement of brachial plexus and stellate ganglion. Computed tomography (CT) or magnetic resonance imaging (MRI) scans can detect early lesions otherwise missed by routine radiographs and can also define the local extent or metastatic progression of the disease. Protocols involving combinations of irradiation, chemotherapy, and surgery are currently being under investigation to determine the best management. Read More

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http://dx.doi.org/10.7417/CT.2019.2150DOI Listing
October 2019
6 Reads

The new 8th TNM staging system of lung cancer and its potential imaging interpretation pitfalls and limitations with CT image demonstrations.

Diagn Interv Radiol 2019 Jul;25(4):270-279

Department of Radiology, China Medical University Hospital, Taichung, Taiwan;School of Chinese Medicine, China Medical University, Taichung, Taiwan.

The tumor, node, metastasis (TNM) staging system approved by International Association for the Study of Lung Cancer (IASLC) and the American Joint Committee on Cancer (AJCC) to stage lung cancer was recently revised. The latest revision is the 8th edition published in January, 2017. This new edition made some important changes to the previous edition, including modification of the T classification based on 1 cm increment, downstage of T descriptor including endobronchial tumor disregarding its distance from carina (T2), merging total and partial atelectasis/pneumonitis into the same T category (T2), upstage diaphragmatic invasion to T4, new classification concept of adenocarcinoma in situ and minimally invasive adenocarcinoma for pure and part-solid ground-glass nodules, and further division of extrathoracic metastasis into M1b and M1c based on the number and sites of extrathoracic metastases. Read More

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http://dx.doi.org/10.5152/dir.2019.18458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6622436PMC
July 2019
3 Reads

A man in his sixties with pain, paresis and atrophy in his arm.

Tidsskr Nor Laegeforen 2019 03 11;139(5). Epub 2019 Mar 11.

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http://dx.doi.org/10.4045/tidsskr.18.0497DOI Listing
March 2019
2 Reads

An quality assurance study of contouring target volumes in thoracic tumors within a cooperative group setting.

Clin Transl Radiat Oncol 2019 Feb 6;15:83-92. Epub 2019 Jan 6.

Department of Radiation Oncology, University of Texas M.D. Anderson Cancer Center, TX 77030, USA.

Introduction: Target delineation variability is a significant technical impediment in multi-institutional trials which employ intensity modulated radiotherapy (IMRT), as there is a real potential for clinically meaningful variances that can impact the outcomes in clinical trials. The goal of this study is to determine the variability of target delineation among participants from different institutions as part of Southwest Oncology Group (SWOG) Radiotherapy Committee's multi-institutional quality assurance study in patients with Pancoast tumors as a "dry run" for trial implementation.

Methods: CT simulation scans were acquired from four patients with Pancoast tumor. Read More

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http://dx.doi.org/10.1016/j.ctro.2019.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365802PMC
February 2019
10 Reads

Horner's Syndrome as Initial Manifestation of Possible Brachial Plexopathy Neurolymphomatosis.

Front Neurol 2019 22;10. Epub 2019 Jan 22.

Department of Neurology, Ohio State University Wexner Medical Center, Columbus, OH, United States.

Horner's syndrome is an established clinical finding unique to neoplastic brachial plexopathy. We present the case of a patient who developed Horner's syndrome as the first manifestation of neurolymphomatosis (NL) of the brachial plexus that did not have the usually associated bulky adenopathy/Pancoast syndrome phenotype. We discuss the clinical utility of Horner's syndrome with regards to brachial plexopathy of indeterminate etiology, as well as the utility of other diagnostic modalities in NL. Read More

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http://dx.doi.org/10.3389/fneur.2019.00004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350275PMC
January 2019
14 Reads

Pancoast tumour presenting as shoulder pain with Horner's syndrome.

BMJ Case Rep 2019 Jan 24;12(1). Epub 2019 Jan 24.

Emergency Department, Guy's and Saint Thomas' NHS Foundation Trust, London, UK.

A 54-year-old man presented to the emergency department with a 4-week history of right shoulder pain radiating down his arm, with some associated sensory loss. Further questioning and examination in the department revealed a classical Horner's syndrome; miosis, partial ptosis and hemifacial anhidrosis. An initial chest X-ray was deemed to be unremarkable; however, further review by a radiologist noted asymmetrical right apical thickening. Read More

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http://dx.doi.org/10.1136/bcr-2018-227873DOI Listing
January 2019
19 Reads

Esophageal ultrasound with ultrasound bronchoscope (EUS-B) guided left adrenal biopsy: Case report with review of literature.

Respir Med Case Rep 2019 20;26:154-156. Epub 2018 Dec 20.

Department of Pulmonary Medicine, Santa Maria degli Angeli di Pordenone, Italy.

A 45-year old man, chronic smoker with a pancoast tumor due to squamous cell carcinoma has been described. The initial diagnosis of lung carcinoma was based on a scant tissue so the exact cell typing was not possible. The initial treatment consisted of platinum based chemotherapy and radiotherapy. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.12.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310773PMC
December 2018
4 Reads

Pancoast's syndrome caused by lymph node metastasis from breast cancer.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University, Chieti, Italy.

Pancoast's syndrome may be the result of neoplastic, inflammatory or infectious disease. We report an unusual case of Pancoast's syndrome in a patient with metastatic breast cancer. A 54-year-old woman, affected by metastatic breast cancer, presented for severe shoulder pain, paraesthesia and numbness in the right arm. Read More

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http://dx.doi.org/10.1136/bcr-2018-226793DOI Listing
November 2018
11 Reads

A case of pulmonary mucormycosis presented as Pancoast syndrome and bone destruction in an immunocompetent adult mimicking lung carcinoma.

J Mycol Med 2019 Apr 12;29(1):80-83. Epub 2018 Dec 12.

Department of Radiology, Zhejiang Hospital, 12, Lingyin road, 310013 Hangzhou, China. Electronic address:

Pulmonary mucormycosis is a rare opportunistic infection caused by Mucormycosis. This fungal infection is uncommon in immunocompetent individuals. Because of its various clinical and imaging manifestations, it is a diagnostic challenge to distinguish pulmonary mucormycosis from other pulmonary diseases, such as carcinoma. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S11565233173045
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http://dx.doi.org/10.1016/j.mycmed.2018.10.005DOI Listing
April 2019
36 Reads

Paraneoplastic syndrome in lung cancer.

Exp Oncol 2018 Oct;40(3):239-242

National Cancer Institute, Kyiv 03022, Ukraine.

Aim: To study the nature of different variants of paraneoplastic syndrome (PNPS) in lung cancer, taking into account the features of the tumorous process and the complications of radiochemotherapy.

Patients And Methods: We performed an analysis of the data of 1,669 patients with lung cancer aged between 24 and 87 years, among whom there were 89% of men and 11% of women. The ratio of small cell and non-small-cell histological variants of the lung cancer was 1: 4, IB, IIA, IIB, IIIA, IIIB and IV stages of cancer - 1:2:6:58:43:57. Read More

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October 2018
11 Reads

Recurrent Diffuse Large B-Cell Lymphoma Presenting with Pancoast Syndrome: A Rare Cause of Radicular Neck Pain in the Emergency Department.

J Emerg Med 2018 09 23;55(3):399-401. Epub 2018 Jul 23.

Department of Emergency Medicine, University of California, San Diego, California.

Background: Pancoast syndrome is an uncommon complication of apical lung tumors. Symptoms include pain, brachial plexopathy, and Horner's syndrome, and are the result of extrinsic compression of tissues within the thoracic inlet. Lymphoma is a very rare etiology. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.06.015DOI Listing
September 2018
67 Reads

Induction chemoradiotherapy versus chemotherapy alone for superior sulcus lung cancer.

Lung Cancer 2018 08 19;122:206-213. Epub 2018 Jun 19.

Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, FL, USA.

Objectives: Although treatment of superior sulcus tumors with induction chemoradiotherapy (CRT) followed by surgery employed in the Intergroup INT-0160 trial is widely adopted as a standard of care, there may be significant associated morbidity and mortality. We describe our experience using standard and alternative induction regimens to assess survival rates and treatment toxicity in these patients.

Materials And Methods: Electronic medical records of all patients who underwent multimodality treatment including resection of lung cancer invading the superior pulmonary sulcus between 1994 and 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.lungcan.2018.06.021DOI Listing
August 2018
63 Reads

Original "double-step" technique for large superior sulcus tumors invading the anterior chest wall without subclavian vessels involvement.

J Thorac Dis 2018 Jun;10(Suppl 16):S1850-S1854

Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum, Sant' Orsola Malpighi Hospital, University of Bologna, Bologna, Italy.

Background: In some patients with complex Superior Sulcus tumors, a combination of surgical accesses may be required. For patients with very large tumors which invade the first ribs anteriorly and without subclavian vessels involvement, we developed a "double-step" technique to facilitate resection and reduce surgical trauma.

Methods: The technique was performed on five patients with a bulky non-small cell lung cancer (NSCLC), four of whom had a Superior Sulcus tumor. Read More

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http://dx.doi.org/10.21037/jtd.2018.05.182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035938PMC
June 2018
28 Reads

Right eyelid droop.

Eur J Intern Med 2019 02 10;60:e7-e8. Epub 2018 Jul 10.

Department of Ophthalmology and Vision Science, University of California Davis Health, Sacramento, CA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ejim.2018.07.004DOI Listing
February 2019
10 Reads

[Advance of Treatment for Superior Sulcus Tumor of the Lung].

Zhongguo Fei Ai Za Zhi 2018 Jun;21(6):493-497

Department of Thoracic Surgery, National Cancer Center, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100021, China.

Superior sulcus tumor of the lung is a bronchogenic tumor occurred in the apex of the upper lobe of the lung and is a unique clinical subtype of non-small cell lung cancer (NSCLC), which account for less than 5% of all bronchogenic carcinomas. It often involves the first rib, brachial plexus, subclavian vessels, sympathetic chain, stellate ganglion or vertebra. A lot of progress has been achieved in the treatment of superior sulcus tumor over the past decades. Read More

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http://dx.doi.org/10.3779/j.issn.1009-3419.2018.06.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022026PMC
June 2018
16 Reads

Hydatid cyst causing Pancoast syndrome: A rare settlement.

Cir Esp 2018 Dec 20;96(10):655. Epub 2018 Jun 20.

Departamento de Cirugía Torácica, Universidad de Ataturk, Erzurum, Turquía.

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https://linkinghub.elsevier.com/retrieve/pii/S0009739X183015
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http://dx.doi.org/10.1016/j.ciresp.2018.04.015DOI Listing
December 2018
14 Reads

[Modern Management of Pancoast Tumour].

Authors:
Alessandro Marra

Zentralbl Chir 2018 Jun 22;143(3):316-330. Epub 2018 Jun 22.

Pancoast or superior pulmonary sulcus tumour is a subset of lung carcinoma that invades the structures of the thoracic inlet - first ribs, distal roots of the brachial plexus, stellate ganglion, vertebrae, and subclavian vessels. The first symptom is usually shoulder pain; consequently, most patients are initially treated for osteoarthritis. Late diagnosis is common. Read More

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http://dx.doi.org/10.1055/s-0043-109931DOI Listing
June 2018
36 Reads

Reconstruction of a dominant vertebral artery during resection of a superior sulcus tumour with an incomplete circle of Willis.

Eur J Cardiothorac Surg 2019 02;55(2):377-379

Department of Thoracic Surgery, Kyoto University Hospital, Sakyo-ku, Kyoto, Japan.

A 74-year-old man presented with a left superior sulcus tumour invading the subclavian artery. After induction chemoradiotherapy, he underwent a vertebral artery reconstruction in addition to the subclavian artery reconstruction via a transmanubrial approach and video-assisted thoracoscopic left upper lobectomy. The final pathology was ypT4N0M0 adenocarcinoma. Read More

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https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
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http://dx.doi.org/10.1093/ejcts/ezy219DOI Listing
February 2019
3 Reads

Primary Lung Signet Ring Cell Carcinoma Presenting as a Cavitary Pancoast Tumor in a 32-Year-Old Man.

J Am Osteopath Assoc 2018 Jun;118(6):416-419

Signet ring cell carcinoma, a subtype of adenocarcinoma, is a rare cause of primary lung cancer. The authors report a case of primary lung signet ring cell carcinoma presenting as a cavitary Pancoast tumor in a 32-year-old male smoker. Beyond the rarity of primary lung signet ring cell carcinoma itself, the youth of the patient, his smoking status, the presence of cavitation, and the location of the tumor in the superior sulcus make it especially atypical. Read More

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http://dx.doi.org/10.7556/jaoa.2018.086DOI Listing
June 2018
12 Reads

Robotic Hybrid Approach for an Anterior Pancoast Tumor in a Severely Obese Patient.

Ann Thorac Surg 2018 09 12;106(3):e115-e116. Epub 2018 Apr 12.

Division of Thoracic Surgery, European Institute of Oncology, University of Milan, Milan, Italy; Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy.

Several different surgical approaches to anterior Pancoast tumors have been proposed. The osteomuscular-sparing transmanubrial approach allows optimal exposure and control of apical chest wall structures, but it requires an additional thoracotomy to perform the lobectomy with radical lymph node resection. The presented technique combines the osteomuscular-sparing transmanubrial approach with robotic-assisted upper lobectomy in a severely obese patient, thereby reducing the invasiveness of the surgical approach and the postoperative complications. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.03.013DOI Listing
September 2018
10 Reads

Conservative Management of Neuropathic Pain in a Patient With Pancoast-Tobias Syndrome: A Case Report.

A A Pract 2018 Jul;11(2):29-31

From the Departments of Chronic Pain Medicine.

Pancoast-Tobias syndrome characterizes the signs and symptoms of a superior pulmonary sulcus tumor, and includes arm and shoulder pain, atrophy of intrinsic hand muscles, and ipsilateral Horner syndrome. The rarity and overall poor prognosis of patients with superior pulmonary sulcus tumors associated with Pancoast-Tobias syndrome has led to few reports detailing pain management strategies with adjunctive therapies, such as continuous infusions of ketamine and lidocaine, chemotherapy, radiation, and multimodal oral medication regimens. This case highlights the diagnosis and treatment of pain in a patient with Pancoast-Tobias syndrome. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000718DOI Listing
July 2018
35 Reads

Pancoast's syndrome: an unusual presentation of invasive pneumococcal disease.

Infection 2018 Oct 25;46(5):735-736. Epub 2018 Jan 25.

Department of Emergency Room and General Medicine, Ageo Central General Hospital, Ageo, Japan.

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http://dx.doi.org/10.1007/s15010-018-1119-3DOI Listing
October 2018
11 Reads

Pleural lipoma clinically mimicking the presentation of superior sulcus tumour upon initial evaluation.

BMJ Case Rep 2017 Dec 7;2017. Epub 2017 Dec 7.

Department of Pulmonary, Critical Care and Sleep Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Here we present a case of a large pleural lipoma which presented with paresthesias of the hand. This is an unusual presentation of an uncommon tumour. Read More

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http://dx.doi.org/10.1136/bcr-2017-222157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728235PMC
December 2017
17 Reads

A novel muscle-sparing high thoracotomy for upper thoracic spine resection and reconstruction.

Eur Spine J 2018 07 7;27(7):1567-1574. Epub 2017 Dec 7.

Department of Orthopaedic Surgery, Houston Methodist Hospital, 6550 Fannin Street, Smith Tower, Suite 2500, Houston, TX, 77030, USA.

Purpose: High thoracotomy allows access to the anterior cervicothoracic and upper thoracic vertebrae; however, traditional techniques transect shoulder girdle muscles, leading to postoperative shoulder dysfunction. Muscle-sparing techniques diminish this concern, but often sacrifice the quality of exposure. We describe a novel muscle-sparing, high thoracotomy approach for the treatment of ventral cervicothoracic and upper thoracic spine lesions. Read More

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http://dx.doi.org/10.1007/s00586-017-5394-yDOI Listing
July 2018
16 Reads

Pancoast tumor approach through oesophagus.

Respir Med Case Rep 2017 30;22:218-219. Epub 2017 Aug 30.

Univeristy Hospital Shefqet Ndroqi, Tirana, Albania.

Patient with Pancoast Tumor usually present in advanced stage of the disease which requires chemotherapy and radiotherapy as options of treatment. Histologic confirmation is a key for further treatment of these patients. Normally in bronchoscopy the lesion can't be visualised and in result making biopsy difficult to perform. Read More

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http://dx.doi.org/10.1016/j.rmcr.2017.08.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582376PMC
August 2017
55 Reads

Assessment of Contemporary Aggressive Surgical Resection for Superior Sulcus and Pancoast Lung Tumors.

Semin Thorac Cardiovasc Surg 2017 27;29(1):89-90. Epub 2017 Mar 27.

Division of Cardiothoracic Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

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http://dx.doi.org/10.1053/j.semtcvs.2017.03.002DOI Listing
August 2017
9 Reads

Surgical Treatment of Superior Sulcus Tumors: A 15-Year Single-center Experience.

Semin Thorac Cardiovasc Surg 2017 Spring;29(1):79-88. Epub 2017 Feb 22.

Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy; Department of Oncology and Hematology, DIPO, University of Milan, Italy.

This paper reports on the characteristics, treatment modalities, and outcomes of patients with superior sulcus tumors who underwent surgery over a period of 15 years in 1 institution. Clinical records of 94 consecutive patients operated on by the same surgical team for non-small cell lung cancer between July 1998 and December 2013 were retrospectively reviewed. All patients received lung and chest wall en bloc resection. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2017.01.010DOI Listing
September 2017
22 Reads

An effective and safe surgical approach for a superior sulcus tumor: A case report.

Int J Surg Case Rep 2017 17;37:87-89. Epub 2017 Jun 17.

Second Department of Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.

Introduction: Superior sulcus tumors, frequently referred to as Pancoast tumors, are a wide range of tumors invading a section of the apical chest wall called the thoracic inlet. For this reason, a surgical approach and complete resection may be difficult to accomplish. We experienced a locally advanced superior sulcus tumor (SST) located from the anterior to posterior apex thoracic inlet and performed complete resection after definitive chemoradiation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2017.06.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484986PMC
June 2017
50 Reads

Shoulder pain in smokers could be a life changer.

BMJ Case Rep 2017 Jun 13;2017. Epub 2017 Jun 13.

Department of Internal Medicine, King Abdullah Medical City, Mecca, Saudi Arabia.

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http://dx.doi.org/10.1136/bcr-2017-220969DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535100PMC
June 2017
12 Reads

An unusual but classic cause of hand numbness: Pancoast tumour.

Postgrad Med J 2017 Dec 8;93(1106):779. Epub 2017 Jun 8.

Department of Pulmonary, Critical Care and Sleep Medicine, University of Texas Health Science Center at Houston-McGovern Medical School, Houston, TX, USA.

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http://pmj.bmj.com/lookup/doi/10.1136/postgradmedj-2017-1349
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http://dx.doi.org/10.1136/postgradmedj-2017-134995DOI Listing
December 2017
6 Reads

Less Invasive Approach to Pancoast Tumor in a Partitioned Incision.

Ann Thorac Cardiovasc Surg 2017 Jun 9;23(3):161-163. Epub 2017 May 9.

Department of Thoracic and Cardiovascular Surgery, Nara Medical University, Kashihara, Nara, Japan.

We describe our approach to resect a Pancoast tumor with thoracoscopic assistance in a partitioned incision. We used the LigaSure vessel-sealing system under thoracoscopy in chest wall resection for Pancoast tumor. This approach is of great utility: easy-to use and less invasive for Pancoast tumor resection. Read More

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http://dx.doi.org/10.5761/atcs.nm.17-00019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483865PMC
June 2017
45 Reads

Trimodality therapy for Pancoast tumors: T4 is not a contraindication to radical surgery.

J Surg Oncol 2017 Aug 13;116(2):227-235. Epub 2017 Apr 13.

Division of Thoracic Surgery, Department of Surgery, Comprehensive Cancer Center, Medical University of Vienna, Austria.

Objective: This study aims to evaluate the impact of T stage and extended surgery on the outcome of patients with Pancoast tumors after induction chemoradiation therapy.

Methods: Forty-six consecutive patients who underwent chemoradiation therapy (platin-based, 45-66 Gy) followed by surgery between 1998 and 2013 were retrospectively reviewed and analyzed.

Results: In 28 (61%) patients with T4 tumors, extended procedures (more than rib resection) were performed. Read More

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http://dx.doi.org/10.1002/jso.24629DOI Listing
August 2017
30 Reads

Management of Lung Cancer Invading the Superior Sulcus.

Thorac Surg Clin 2017 May;27(2):149-157

Department of Thoracic Surgery, University of California, San Francisco, 1600 Divisadero Street, Room A-743, San Francisco, CA 94143-1724, USA.

Superior sulcus tumors have posed a formidable therapeutic challenge since their original description by Pancoast and Tobias in the early twentieth century. Initial therapeutic efforts with radiotherapy were associated with high rates of relapse and mortality. Bimodality therapy with complete surgical resection in the 1960s paved the way for trimodality therapy as the current standard of care in the treatment of superior sulcus tumors. Read More

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http://dx.doi.org/10.1016/j.thorsurg.2017.01.008DOI Listing
May 2017
21 Reads

Ectopic ACTH-producing large cell neuroendocrine Pancoast tumour presenting as Horner syndrome.

BMJ Case Rep 2017 Mar 24;2017. Epub 2017 Mar 24.

Department of Family Medicine, Apple Valley Medical Clinic, Apple Valley, Minnesota, USA.

We present an interesting case where a patient is presented with a droopy left eyelid (as part of Horner syndrome) and Cushingoid features which were a result of a Pancoast tumour (apical lung tumour in superior pulmonary sulcus) involving the left lung. This tumour was secreting ectopic adrenocorticotropic hormone (ACTH), a paraneoplastic endocrine phenomenon, which resulted in Cushing syndrome symptomatology. Though most ectopic ACTH-producing lung cancers are either small cell or carcinoid tumours, this was in fact a large cell neuroendocrine cancer (LCNEC). Read More

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http://dx.doi.org/10.1136/bcr-2016-219156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372167PMC
March 2017
22 Reads

A rare presentation of myxofibrosarcoma as a Pancoast tumor: a case report.

J Med Case Rep 2017 Mar 7;11(1):61. Epub 2017 Mar 7.

Department of Surgery, Weiss Memorial Hospital, Chicago, IL, USA.

Background: Myxofibrosarcoma is an aggressive soft tissue neoplasm, classified as a variant of malignant fibrous histiocytoma. Most often, it occurs in middle to late adult life peaking in the seventh decade and involving the lower extremities (77%), trunk (12%), and retroperitoneum or mediastinum (8%). We report the first case of thoracic myxofibrosarcoma presenting as a Pancoast tumor. Read More

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http://dx.doi.org/10.1186/s13256-017-1223-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339984PMC
March 2017
26 Reads

Horner's syndrome and epidural anesthesia in labor and cesarean section.

Clin Exp Obstet Gynecol 2017 ;44(3):337-340

Homer's syndrome (HS) is based on dysfunction of symphathetic nervous system at the cervical canal. The signs of the syndrome occur on the same side as the lesion of the sympathetic trunk and include: a constricted pupil, a weak-droopy eyelid, apparent decreased sweating, and with or without inset eyeball. HS has been observed as a rare complication of epidural anaesthesia in obstetrics during labour or cesarean section. Read More

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August 2018
8 Reads

Preoperative planning and tracheal stent design in thoracic surgery: a primer for the 2017 Radiological Society of North America (RSNA) hands-on course in 3D printing.

3D Print Med 2017 6;3(1):14. Epub 2017 Dec 6.

1Department of Medical Imaging, The Ottawa Hospital, University of Ottawa School of Medicine, Ottawa, ON Canada.

In this work, we provide specific clinical examples to demonstrate basic practical techniques involved in image segmentation, computer-aided design, and 3D printing. A step-by-step approach using United States Food and Drug Administration cleared software is provided to enhance surgical intervention in a patient with a complex superior sulcus tumor. Furthermore, patient-specific device creation is demonstrated using dedicated computer-aided design software. Read More

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https://threedmedprint.springeropen.com/articles/10.1186/s41
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http://dx.doi.org/10.1186/s41205-017-0022-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954793PMC
December 2017
16 Reads

Ultrasonographic Imaging of a Pancoast Tumor Presenting with Breakthrough Pain and Not Visualized by Plane Radiograph.

Pain Med 2016 12 1;17(12):2437-2438. Epub 2016 Jun 1.

Department of Radiology, Elbistan State Hospital, Kahramanmaraş, Turkey.

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http://dx.doi.org/10.1093/pm/pnw094DOI Listing
December 2016
21 Reads

Single Posterior Approach for Resection and Stabilization for Locally Advanced Pancoast Tumors Involving the Spine: Single Centre Experience.

Asian Spine J 2016 Dec 8;10(6):1047-1057. Epub 2016 Dec 8.

Division of Neurosurgery, Hôpital Notre-Dame, University of Montreal, Montreal, QC, Canada.

Study Design: Monocentric prospective study.

Purpose: To assess the safety and effectiveness of the posterior approach for resection of advanced Pancoast tumors.

Overview Of Literature: In patients with advanced Pancoast tumors invading the spine, most surgical teams consider the combined approach to be necessary for "" resection to control visceral, vascular, and neurological structures. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.4184/as
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http://dx.doi.org/10.4184/asj.2016.10.6.1047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5164994PMC
December 2016
58 Reads

VATS lobectomy combined with limited Shaw-Paulson thoracotomy for posterolateral Pancoast tumor.

Tumori 2016 Nov 11;102(Suppl. 2). Epub 2016 Nov 11.

Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan - Italy.

Purpose: Several techniques have been proposed for the challenging surgical resection of Pancoast tumors. We describe a hybrid approach that combines video-assisted thoracic surgery (VATS) lobectomy and limited Shaw-Paulson thoracotomy.

Methods: We report a case of Pancoast tumor in a 57-year-old man, staged as cT3N0M0, that was treated with induction chemoradiotherapy prior to the hybrid surgical approach. Read More

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http://dx.doi.org/10.5301/tj.5000430DOI Listing
November 2016
18 Reads