Pancoast tumor history and symptoms

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

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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