Pancoast tumor natural history

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]

Prognosis

• The prognosis of Pancoast tumor depends on the stage of the tumor at diagnosis.
• The presence of the following is associated with a poor prognosis among patients with Pancoast tumor :
  • Horner syndrome
  • Spread to the mediastinal lymph nodes
  • Incomplete resection of tumor
  • Involvement of supraclavicular lymph node
  • Vertebral body invasion
  • Metastasis to the brain
• Pancoast tumor is associated with a 5 survival rate as follows depending on the stage of disease:

Stage Of Pancoast Tumor	5 year survival rate
IIB	47%
IIIA	14%
IIIB	16%