Pancoast tumor history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

The hallmark of Pancoast tumor is lung cancer located in the apex of the lung. A positive history of shoulder pain and atrophy of hand musculature, Horner's syndrome and forearm edema is suggestive of Pancoast Syndrome. The most common symptoms of Pancoast tumor include cough, hemoptysis, dyspnea, chest pain, lack of appetite, weight loss, fatigue, symptoms of Pancoast Syndrome resulting from Pancoast tumor include shoulder pain along the vertebral border of the scapula, Horner's syndrome and weakness of hand muscles. Less common symptoms of Pancoast syndrome include paraplegia.

History

• The hallmark of Pancoast tumor is lung cancer located in the apex of the lung. A positive history of shoulder pain and atrophy of hand musculature, Horner's syndrome and forearm edema is suggestive of Pancoast Syndrome.

Symptoms

• The most common symptoms of Pancoast tumor include:
  • Cough
  • Hemoptysis
  • Dyspnea
  • Chest pain
  • Lack of appetite
  • Weight loss
  • Fatigue
• Symptoms of Pancoast Syndrome resulting from Pancoast tumor include:
  • Shoulder pain along the vertebral border of scapula
  • Horner's syndrome
  • Weakness of hand muscles
• Less common symptoms of Pancoast syndrome include
• Paraplegia