Pancoast tumor CT

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

Overview

CT scan is diagnostic of Pancoast tumor. CT scan has a limited ability to determine the extent of invasion of the primary tumor into adjoining structures when compared to MRI scan.

CT Scan

• CT scan is diagnostic of Pancoast tumor, a subtype of lung cancer located at the lung apex.
• CT scan has a limited ability to determine the extent of invasion of the primary tumor into adjoining structures when compared to MRI scan.
• Chest CT scan is the modality of choice in the diagnosis of lung cancer. Findings on CT scan of the chest suggestive of Pancoast tumor include:
  • Invasion of brachial plexus
  • Invasion of chest wall and/or mediastinum
  • Extension of the tumor into vena cava, trachea and esophagus.
  • Subclavian vessel involvement is assessed by contrast CT scanning.