Pancoast tumor physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Pancoast tumor is a subtype of lung cancer localized to the apical portion of the lung. Common physical examination findings of Paqncoast tumor include decreased/absent [[breath sounds]], [[pallor]], low-grade [[fever]], and [[tachypnea]].<ref name="DegnerSloan1995">{{cite journal|last1=Degner|first1=Lesley F.|last2=Sloan|first2=Jeffrey A.|title=Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer|journal=Journal of Pain and Symptom Management|volume=10|issue=6|year=1995|pages=423–431|issn=08853924|doi=10.1016/0885-3924(95)00056-5}}</ref><ref name="pmid2299974">{{cite journal |vauthors=Feinstein AR, Wells CK |title=A clinical-severity staging system for patients with lung cancer |journal=Medicine (Baltimore) |volume=69 |issue=1 |pages=1–33 |year=1990 |pmid=2299974 |doi= |url=}}</ref><ref name="pmid2992757">{{cite journal |vauthors=Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J |title=Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont |journal=Cancer |volume=56 |issue=8 |pages=2107–11 |year=1985 |pmid=2992757 |doi= |url=}}</ref><ref name="pmid9266882">{{cite journal |vauthors=Hirshberg B, Biran I, Glazer M, Kramer MR |title=Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital |journal=Chest |volume=112 |issue=2 |pages=440–4 |year=1997 |pmid=9266882 |doi= |url=}}</ref><ref name="pmid10669674">{{cite journal |vauthors=Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP |title=Non-small cell lung cancer in very young and very old patients |journal=Chest |volume=117 |issue=2 |pages=354–7 |year=2000 |pmid=10669674 |doi= |url=}}</ref><ref name="pmid21276318">{{cite journal |vauthors=Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J |title=Superior vena cava syndrome in thoracic malignancies |journal=Respir Care |volume=56 |issue=5 |pages=653–66 |year=2011 |pmid=21276318 |doi=10.4187/respcare.00947 |url=}}</ref><ref name="Buccheri2004">{{cite journal|last1=Buccheri|first1=G.|title=Lung cancer: clinical presentation and specialist referral time|journal=European Respiratory Journal|volume=24|issue=6|year=2004|pages=898–904|issn=0903-1936|doi=10.1183/09031936.04.00113603}}</ref> | |||
===General appearance=== | |||
*[[Lethargic]] | |||
*Emaciated | |||
*Confused | |||
===Vital Signs=== | |||
* Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs: | |||
:* Low-grade [[fever]] | |||
:* Decreased SPO2 | |||
:* [[Tachypnea]] | |||
:* [[Tachycardia]] | |||
:* Low BP | |||
===Chest=== | |||
*Decreased/absent [[breath sounds]] | |||
===Abdomen=== | |||
*Discomfort on palpation | |||
*[[Hepatomegaly]] | |||
*[[Ascites]] | |||
===Skeletal=== | |||
*Bone pain | |||
*Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs) | |||
===Skin=== | |||
*[[Pallor]] | |||
*[[Jaundice]] | |||
===HEENT=== | |||
*Ptosis | |||
*Miosis | |||
*Anhydrosis | |||
*[[Jaundice]] | |||
*Supraclavicular [[Lymphadenopathy]] | |||
*Visual defects | |||
*Rounded face | |||
*Increased fat around the neck | |||
===CNS=== | |||
*Cranial nerve palsies | |||
===Extremities=== | |||
*[[Clubbing]] of fingers | |||
*[[Swelling]] of hands and feet | |||
*[[Weakness]] | |||
*[[Hemiplegia]] | |||
*Shoulder pain (caused by a [[Pancoast tumor]]) | |||
*Thinning arms and legs | |||
==References== | ==References== | ||
Revision as of 21:56, 21 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]
Overveiw
Physical Examination
Pancoast tumor is a subtype of lung cancer localized to the apical portion of the lung. Common physical examination findings of Paqncoast tumor include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea.[1][2][3][4][5][6][7]
General appearance
- Lethargic
- Emaciated
- Confused
Vital Signs
- Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs:
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
- Low BP
Chest
- Decreased/absent breath sounds
Abdomen
- Discomfort on palpation
- Hepatomegaly
- Ascites
Skeletal
- Bone pain
- Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)
Skin
HEENT
- Ptosis
- Miosis
- Anhydrosis
- Jaundice
- Supraclavicular Lymphadenopathy
- Visual defects
- Rounded face
- Increased fat around the neck
CNS
- Cranial nerve palsies
Extremities
- Clubbing of fingers
- Swelling of hands and feet
- Weakness
- Hemiplegia
- Shoulder pain (caused by a Pancoast tumor)
- Thinning arms and legs
References
- ↑ Degner, Lesley F.; Sloan, Jeffrey A. (1995). "Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer". Journal of Pain and Symptom Management. 10 (6): 423–431. doi:10.1016/0885-3924(95)00056-5. ISSN 0885-3924.
- ↑ Feinstein AR, Wells CK (1990). "A clinical-severity staging system for patients with lung cancer". Medicine (Baltimore). 69 (1): 1–33. PMID 2299974.
- ↑ Chute CG, Greenberg ER, Baron J, Korson R, Baker J, Yates J (1985). "Presenting conditions of 1539 population-based lung cancer patients by cell type and stage in New Hampshire and Vermont". Cancer. 56 (8): 2107–11. PMID 2992757.
- ↑ Hirshberg B, Biran I, Glazer M, Kramer MR (1997). "Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital". Chest. 112 (2): 440–4. PMID 9266882.
- ↑ Kuo CW, Chen YM, Chao JY, Tsai CM, Perng RP (2000). "Non-small cell lung cancer in very young and very old patients". Chest. 117 (2): 354–7. PMID 10669674.
- ↑ Lepper PM, Ott SR, Hoppe H, Schumann C, Stammberger U, Bugalho A, Frese S, Schmücking M, Blumstein NM, Diehm N, Bals R, Hamacher J (2011). "Superior vena cava syndrome in thoracic malignancies". Respir Care. 56 (5): 653–66. doi:10.4187/respcare.00947. PMID 21276318.
- ↑ Buccheri, G. (2004). "Lung cancer: clinical presentation and specialist referral time". European Respiratory Journal. 24 (6): 898–904. doi:10.1183/09031936.04.00113603. ISSN 0903-1936.