Pancoast Syndrome Accompanied by Rotator Cuff Tear
10.5397/cise.2015.18.1.43
- Author:
Seung Oh NAM
1
;
Dongju SHIN
;
Kihong PARK
;
Tae Kyun KIM
;
Han Sang KIM
Author Information
1. Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea. aabga@hanmail.net
- Publication Type:Case Report
- Keywords:
Pancoast syndrome;
Rotator cuff tear;
Superior vena cava syndrome
- MeSH:
Bays;
Brachial Plexus;
Cough;
Diagnostic Errors;
Dyspnea;
Hemoptysis;
Humans;
Lung;
Lung Neoplasms;
Manubrium;
Orthopedics;
Pancoast Syndrome;
Ribs;
Rotator Cuff;
Shoulder Pain;
Superior Vena Cava Syndrome;
Thorax
- From:Journal of the Korean Shoulder and Elbow Society
2015;18(1):43-46
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pancoast syndrome (PS) is characterized by a malignant neoplasm of the superior sulcus of the lung with destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves. The most common initial symptom of PS is shoulder pain; however, cough, dyspnea, and hemoptysis, signs often associated with lung cancer, are not as common. Investigation of PS can be difficult even with plain radiographs of the chest because it is surrounded by osseous structures such as the ribs, vertebral bodies, and manubrium. Due to these characteristics, orthopedic surgeons tend to make a misdiagnosis resulting in delay of appropriate treatment. Here we report on a patient who was supposed to undergo rotator cuff repair for his shoulder pain and weakness, and was eventually diagnosed with PS.
