Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case report
Pancoast tumors, also known as superior sulcus tumors, encompass a diverse spectrum of neoplasms that infiltrate the apex of the chest wall, yielding distinctive clinical presentations. One of the earliest signs of tumor growth is pain radiating to the upper limb, stemming from peripheral nerve invo...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324000864 |
| _version_ | 1797267163606679552 |
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| author | Ladislav Kočan, MD, PhD Róbert Rapčan, MD, PhD Martin Griger, MD, PhD Simona Rapčanová, MD Daniela Kantárová, MD, PhD Pavol Török, MD, PhD Janka Vašková, PhD |
| author_facet | Ladislav Kočan, MD, PhD Róbert Rapčan, MD, PhD Martin Griger, MD, PhD Simona Rapčanová, MD Daniela Kantárová, MD, PhD Pavol Török, MD, PhD Janka Vašková, PhD |
| author_sort | Ladislav Kočan, MD, PhD |
| collection | DOAJ |
| description | Pancoast tumors, also known as superior sulcus tumors, encompass a diverse spectrum of neoplasms that infiltrate the apex of the chest wall, yielding distinctive clinical presentations. One of the earliest signs of tumor growth is pain radiating to the upper limb, stemming from peripheral nerve involvement, which can mimic joint pain or spinal radicular irritation. In this case report, we present the clinical history of a 64-year-old female smoker who had previously been recommended for orthopedic elbow surgery due to epicondylitis. Subsequent to the development of additional symptoms and rigorous investigation, a Pancoast tumor was diagnosed. Furthermore, we discuss the characteristic treatment modalities available for Pancoast tumors, including pharmacological pain management and interventional strategies such as spinal cordotomy and spinal alcoholysis. This case underscores the significance of recognizing atypical presentations and emphasizes the importance of comprehensive evaluation in the diagnosis and management of Pancoast tumors. |
| first_indexed | 2024-04-25T01:12:13Z |
| format | Article |
| id | doaj.art-18c69eaed13942af88cef961b44d97a1 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:12:13Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-18c69eaed13942af88cef961b44d97a12024-03-10T05:11:50ZengElsevierRadiology Case Reports1930-04332024-05-0119518101814Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case reportLadislav Kočan, MD, PhD0Róbert Rapčan, MD, PhD1Martin Griger, MD, PhD2Simona Rapčanová, MD3Daniela Kantárová, MD, PhD4Pavol Török, MD, PhD5Janka Vašková, PhD6Clinic of Anaesthesiology and Intensive Care Medicine, East Slovak Institute of Cardiovascular Disease, Ondavská 8, 040 11 Košice, Slovak RepublicEuropainclinics, Kominárska 21/5, 831 04 Bratislava, Slovak RepublicEuropainclinics, Kominárska 21/5, 831 04 Bratislava, Slovak RepublicEuropainclinics, Kominárska 21/5, 831 04 Bratislava, Slovak RepublicOutpatient clinic for adults, Imunology centre in Martin, Mudroňova 12, 036 01 Martin, Slovak RepublicClinic of Anaesthesiology and Intensive Care Medicine, East Slovak Institute of Cardiovascular Disease, Ondavská 8, 040 11 Košice, Slovak RepublicDepartment of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Trieda SNP 1, Košice, Slovak Republic; Corresponding author.Pancoast tumors, also known as superior sulcus tumors, encompass a diverse spectrum of neoplasms that infiltrate the apex of the chest wall, yielding distinctive clinical presentations. One of the earliest signs of tumor growth is pain radiating to the upper limb, stemming from peripheral nerve involvement, which can mimic joint pain or spinal radicular irritation. In this case report, we present the clinical history of a 64-year-old female smoker who had previously been recommended for orthopedic elbow surgery due to epicondylitis. Subsequent to the development of additional symptoms and rigorous investigation, a Pancoast tumor was diagnosed. Furthermore, we discuss the characteristic treatment modalities available for Pancoast tumors, including pharmacological pain management and interventional strategies such as spinal cordotomy and spinal alcoholysis. This case underscores the significance of recognizing atypical presentations and emphasizes the importance of comprehensive evaluation in the diagnosis and management of Pancoast tumors.http://www.sciencedirect.com/science/article/pii/S1930043324000864Cervical lymphadenopathyCervical spinal lysisEpicondylitisOsteolysisPainPancoast tumor |
| spellingShingle | Ladislav Kočan, MD, PhD Róbert Rapčan, MD, PhD Martin Griger, MD, PhD Simona Rapčanová, MD Daniela Kantárová, MD, PhD Pavol Török, MD, PhD Janka Vašková, PhD Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case report Radiology Case Reports Cervical lymphadenopathy Cervical spinal lysis Epicondylitis Osteolysis Pain Pancoast tumor |
| title | Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case report |
| title_full | Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case report |
| title_fullStr | Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case report |
| title_full_unstemmed | Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case report |
| title_short | Deciphering the enigmatic symptoms of Pancoast tumors: Navigating the complex landscape of pain management—A case report |
| title_sort | deciphering the enigmatic symptoms of pancoast tumors navigating the complex landscape of pain management a case report |
| topic | Cervical lymphadenopathy Cervical spinal lysis Epicondylitis Osteolysis Pain Pancoast tumor |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324000864 |
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