SUPERIOR PULMONARY SULCUS TUMOR

Question 1

PANCOAST TUMOR

Answer 1

IPSILATERAL SHOULDER PAIN, HORNER’S SYNDROME, WEAKNESS OF HAND MUSCLES

MAJORITY DUE TDUE TO NON SMALL CELL CA
SQUAMOUS MORE THAN ADENO

Question 2

HORNER’S SYNDROME

Answer 2

OCCURS IN MAJORITY OF PATIENTS AND IS DUE TO INVASION OF PARAVERTEBRAL SYMPATHETIC CHAIN AND INFERIOR CERVICAL GANGLION

Question 3

SUPERIOR SULCUS TUMOR

Answer 3

IF INVADES BRACHIAL PLEXUS : T4

MRI IS SUPERIOR TO CT IN DETECTING INVOLVEMENT OF BRACHIAL PLEXUS