A Case of Pancoast Tumor with Unusual Presentation

被引：4

作者：

Calabek, Bernadette ^{[1
]}

Meng, Stefan ^{[2
]}

Pollanz, Sabine ^{[1
]}

Klepetko, Walter ^{[3
]}

Hoetzenecker, Konrad ^{[3
]}

Oberndorfer, Felicitas ^{[4
]}

Grisold, Wolfgang ^{[1
]}

机构：

[1] Ludwig Boltzmann Inst Neurooncol, Kaiser Franz Josef Hosp, Dept Neurol, Vienna, Austria

[2] Kaiser Franz Josef Hosp, Dept Radiol, Vienna, Austria

[3] Univ Hosp Vienna, Dept Thorac Surg, Vienna, Austria

[4] Univ Hosp Vienna, Clin Inst Pathol, Vienna, Austria

来源：

JOURNAL OF BRACHIAL PLEXUS AND PERIPHERAL NERVE INJURY | 2015年 / 10卷 / 01期

关键词：

brachial plexus; lung cancer; nerve infiltration; outcome; Pancoast tumor; surgical resection;

D O I：

10.1055/s-0035-1551654

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction The Pancoast syndrome ( PS) has been termed after Henry Pancoast. Its neurologic core symptoms include pain, radicular sensory and motor syndromes, and Horner syndrome. A PS is often the presenting sign of lung cancer and bears a grim prognosis. Methods This case report describes an atypical onset of a lung tumor causing a PS. Electrophysiological examination was not conclusive. The diagnosis was confirmed by MRI, CT scan, and biopsy. The intervention consisted of preoperative chemo- and radiotherapy and was followed by an extensive surgical approach with histologically confirmed perineural invasion of the brachial plexus. Results The postoperative period was dominated by neuropathic pain. Despite considerable loss of distal sensorimotor function of the right hand, the patient uses the extremity and has returned to professional life. Discussion This observation triggered by the advances in general oncology and surgery also demonstrates the management of a lesion of the peripheral nervous system caused by cancer.

引用

页码：E53 / E56

页数：4