Pancoast Syndrome

• Non-small cell lung carcinoma
• Sometimes small cell carcinoma

• Severe shoulder pain, radiating towards axilla and scapula along the ulnar aspect of the muscles of the hand
• Atrophy of hand and arm muscles
• Compression of the blood vessels with edema
• Horner syndrome (combined occurrence of ptosis, miosis, hernianhidrosis, posterior displacement of the eyeball within the eye)
• Signs of associated lung cancer like cough, dyspnea and hemoptysis

• Physical examination for ptosis and miosis
• Biopsy of lungs
• Bronchoscopy
• Chest Radiography
• CT scan of lungs
• MRI scan of lungs
• PET scan of lungs
• Liver, bone and brain scan
• Tumour markers

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