Clin Should Elbow.  2015 Mar;18(1):43-46. 10.5397/cise.2015.18.1.43.

Pancoast Syndrome Accompanied by Rotator Cuff Tear

• Nam SO
• Shin D
• Park K
• Kim TK
• Kim HS

• KMID: 2279981
• DOI: http://doi.org/10.5397/cise.2015.18.1.43

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.

Keyword

Pancoast syndrome; Rotator cuff tear; Superior vena cava syndrome

MeSH Terms

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