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[Pancoast's tumor. Symptoms, diagnosis and therapy]
Fortschritte Der Medizin
|September 15, 1977
Summary
Pancoast tumors, a rare lung cancer subtype, present with specific symptoms like shoulder pain and Horner syndrome. Early diagnosis and radical surgical resection combined with radiation offer the best prognosis.
Area of Science:
- Thoracic Oncology
- Pulmonology
- Neurosurgery
Background:
- Pancoast tumors are rare malignant neoplasms originating in the superior pulmonary sulcus.
- They represent a small fraction of all bronchial carcinomas.
- Clinical presentation often includes shoulder-arm pain, Horner syndrome, and neurological deficits.
Purpose of the Study:
- To discuss the clinical findings associated with Pancoast tumors.
- To outline the appropriate treatment strategy for this condition.
- To analyze factors influencing prognosis and survival.
Main Methods:
- Review of clinical cases of Pancoast tumors treated at the clinic.
- Analysis of surgical and oncological treatment approaches.
- Evaluation of diagnostic criteria and prognostic indicators.
Main Results:
- Pancoast tumors were identified in 18 out of 910 operated bronchial carcinoma cases.
- Key clinical findings include apical lung tumors, shoulder-arm pain, Horner syndrome, rib destruction, and neurological symptoms.
- Prognosis is strongly correlated with tumor extension and lymph node metastasis.
Conclusions:
- Radical resection of the affected lobe, thoracic wall, and nerve tissue is the recommended treatment.
- Early diagnosis, complete tumor resection, and postoperative radiation are crucial for improving patient survival and outcomes.