Pain in the neck and arm

The clinical features of eight cases of carcinoma of the bronchus presenting as pain in the neck and arm, arising from a population of 320 000 in eight years, are described. The difficulties in establishing a diagnosis are discussed, and the implications for therapy and management are described. It would appear that carcinoma of the bronchus, whether local, as a Pancoast syndrome, or metastatic, is more common than is realized.