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Chest Jul 1988Eleven patients with Pancoast tumor, who failed to yield diagnostic materials by conventional sputum cytology and fiberoptic bronchoscopy, were studied by real-time...
Eleven patients with Pancoast tumor, who failed to yield diagnostic materials by conventional sputum cytology and fiberoptic bronchoscopy, were studied by real-time linear-array and sector ultrasonography. The sector scanner through the supraclavicular approach adequately visualized the external profile and the internal texture of the lesions in all 11 patients, which is a significant improvement (p less than 0.05) over what can be accomplished with linear-array scanner through the intercostal approach. All patients received percutaneous transthoracic aspiration under ultrasound guidance. Positive cytologic diagnosis was established in ten of the 11 patients (91 percent). Additional biopsies performed in seven patients under similar ultrasonic guidance also provided concordant results. No complications were observed in this series. This study has clearly shown that ultrasound-guided aspiration biopsy can be a safe and useful means for obtaining materials for pathologic confirmation of Pancoast tumor. It may also assist in defining the tumor extension to pleura and adjacent structures.
Topics: Aged; Biopsy, Needle; Female; Humans; Lung; Male; Middle Aged; Pancoast Syndrome; Radiography; Ultrasonography
PubMed: 3289832
DOI: 10.1378/chest.94.1.124 -
American Journal of Hematology Nov 2020
Topics: Diagnosis, Differential; Humans; Leukemia, Plasma Cell; Magnetic Resonance Imaging; Male; Middle Aged; Pancoast Syndrome; Tomography, X-Ray Computed
PubMed: 32833248
DOI: 10.1002/ajh.25977 -
Current Opinion in Pulmonary Medicine Jul 1998Pancoast or superior pulmonary sulcus tumors are uncommon primary bronchogenic carcinomas that produce a characteristic clinical syndrome of upper extremity pain and... (Review)
Review
Pancoast or superior pulmonary sulcus tumors are uncommon primary bronchogenic carcinomas that produce a characteristic clinical syndrome of upper extremity pain and Horner's syndrome. Treatment of patients with this malignancy has traditionally involved irradiation alone or preoperative irradiation followed by resection. Recent advances in the management of Pancoast tumors include the importance of mediastinoscopy in staging the tumor before treatment begins. A complete resection should be accomplished including a lobectomy whenever possible. The current treatment protocol involves induction chemoradiotherapy followed by surgery.
Topics: Carcinoma, Bronchogenic; Combined Modality Therapy; Female; Humans; Incidence; Male; Pancoast Syndrome; Prognosis; Survival Rate
PubMed: 10813231
DOI: 10.1097/00063198-199807000-00001 -
The Journal of Cardiovascular Surgery Apr 1993The treatment of superior pulmonary sulcus (Pancoast) tumor is not uniform and is still discussed. Literature data and our retrospective study are presented. Fourteen... (Review)
Review
The treatment of superior pulmonary sulcus (Pancoast) tumor is not uniform and is still discussed. Literature data and our retrospective study are presented. Fourteen patients were operated for a Pancoast tumor. Nine patients underwent mediastinoscopy followed by preoperative radiotherapy. Five patients received adjuvant radiotherapy after incomplete resection. Five patients who did not have preoperative radiotherapy, received postoperative irradiation. All three patients who survived five years or more, had preoperative radiotherapy and two of them underwent a complete resection. Literature data are discussed and emphasis is laid on the importance of preoperative staging, including mediastinoscopy, preoperative radiotherapy and complete "en bloc" resection.
Topics: Adult; Aged; Clinical Protocols; Combined Modality Therapy; Follow-Up Studies; Humans; Male; Middle Aged; Pancoast Syndrome; Postoperative Care; Preoperative Care; Radiotherapy Dosage; Retrospective Studies
PubMed: 8320251
DOI: No ID Found -
The Lancet. Oncology Dec 2006Non-small-cell lung carcinomas of the superior sulcus, frequently termed Pancoast tumours, are some of the most challenging thoracic malignant diseases to treat because... (Review)
Review
Non-small-cell lung carcinomas of the superior sulcus, frequently termed Pancoast tumours, are some of the most challenging thoracic malignant diseases to treat because of their proximity to vital structures at the thoracic inlet. Originally deemed universally fatal, Pancoast tumours are now amenable to curative treatment because of improvements in combined modality therapy and development of new techniques for resection. This review includes discussion of anatomical considerations, initial assessment, multimodality treatment, and surgical approaches for these cancers.
Topics: Combined Modality Therapy; Humans; Pancoast Syndrome; Prognosis
PubMed: 17138221
DOI: 10.1016/S1470-2045(06)70974-3 -
Southern Medical Journal Dec 1992Pancoast tumors (superior sulcus tumors) are apical lung cancers that may cause any or all of the symptoms originally described in 1932 as Pancoast's syndrome. We have... (Review)
Review
Pancoast tumors (superior sulcus tumors) are apical lung cancers that may cause any or all of the symptoms originally described in 1932 as Pancoast's syndrome. We have presented a case report and a review of pertinent literature on the treatment of this tumor. Our patient was treated with preoperative radiation and en bloc tumor resection, the current standard of care for cure of Pancoast tumor. We support an aggressive approach in the treatment of this tumor, as radiation followed by radical tumor resection offers good palliation and the best chance for cure. Magnetic resonance imaging has emerged as the procedure of choice to assess the local extent of tumor, and in our patient, MRI accurately predicted that the tumor was resectable.
Topics: Female; Humans; Lung; Lung Neoplasms; Magnetic Resonance Imaging; Middle Aged; Neoplasm Staging; Pancoast Syndrome; Tomography, X-Ray Computed
PubMed: 1470977
DOI: 10.1097/00007611-199212000-00027 -
Revista Medica de Valparaiso Aug 1948
Topics: Humans; Neoplasms; Pancoast Syndrome; Thoracic Neoplasms; Thorax
PubMed: 18883627
DOI: No ID Found -
Archiv Fur Geschwulstforschung 1954
Topics: Humans; Pancoast Syndrome
PubMed: 13198153
DOI: No ID Found -
The Annals of Thoracic Surgery Dec 1979Seventy-three patients with Pancoast's tumor treated at the University of Maryland Hospital between 1955 and 1978 were reviewed. Three were 34 squamous cell carcinomas,...
Seventy-three patients with Pancoast's tumor treated at the University of Maryland Hospital between 1955 and 1978 were reviewed. Three were 34 squamous cell carcinomas, 13 undifferentiated, 10 adenocarcinomas, 4 mixed adenosquamous, 1 alveolar cell, and 11 undetermined. Twenty-nine patients received irradiation, with 7% survival at 3 years; 19 patients underwent preoperative irradiation followed by en bloc resection of chest wall, with 23% survival at 3 years; 5 patients underwent extended resection, with 60% survival at 3 years; and 18 patients underwent operation followed by irradiation, with 7% survival at 3 years. Retrospective staging of 42 patients undergoing operation indicated that 22 (52%) were inoperable. Prognosis was related to staging of the disease, the extent of local invasion, nodal involvement, cell type, and adequacy of operation.
Topics: Adult; Aged; Female; Humans; Male; Maryland; Middle Aged; Neoplasm Staging; Pancoast Syndrome; Time Factors
PubMed: 518186
DOI: 10.1016/s0003-4975(10)63180-3 -
The Journal of the American Osteopathic... Sep 1975
Topics: Humans; Male; Middle Aged; Pancoast Syndrome; Radiography
PubMed: 1043905
DOI: No ID Found