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Pancoast tumour presenting as shoulder pain with Horner’s syndrome
A 54-year-old man presented to the emergency department with a 4-week history of right shoulder pain radiating down his arm, with some associated sensory loss. Further questioning and examination in the department revealed a classical Horner’s syndrome; miosis, partial ptosis and hemifacial anhidros...
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| Published in: | BMJ case reports 2019-01, Vol.12 (1), p.bcr-2018-227873 |
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| container_start_page | bcr-2018-227873 |
| container_title | BMJ case reports |
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| creator | Shanmugathas, Nimlan Rajwani, Kapil Mohan Dev, Shumontha |
| description | A 54-year-old man presented to the emergency department with a 4-week history of right shoulder pain radiating down his arm, with some associated sensory loss. Further questioning and examination in the department revealed a classical Horner’s syndrome; miosis, partial ptosis and hemifacial anhidrosis. An initial chest X-ray was deemed to be unremarkable; however, further review by a radiologist noted asymmetrical right apical thickening. A subsequent high-resolution CT scan of the chest revealed a right-sided Pancoast tumour. This case highlights the importance of a thorough history and examination in identifying a rare cause of shoulder and/or back pain. |
| doi_str_mv | 10.1136/bcr-2018-227873 |
| format | article |
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Further questioning and examination in the department revealed a classical Horner’s syndrome; miosis, partial ptosis and hemifacial anhidrosis. An initial chest X-ray was deemed to be unremarkable; however, further review by a radiologist noted asymmetrical right apical thickening. A subsequent high-resolution CT scan of the chest revealed a right-sided Pancoast tumour. This case highlights the importance of a thorough history and examination in identifying a rare cause of shoulder and/or back pain.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2018-227873</identifier><identifier>PMID: 30683661</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Brain research ; Case reports ; Emergency Service, Hospital ; Horner Syndrome - complications ; Horner Syndrome - diagnosis ; Humans ; Lung cancer ; Lung Neoplasms - complications ; Lung Neoplasms - diagnosis ; Lung Neoplasms - pathology ; Male ; Medical imaging ; Middle Aged ; Pain ; Pancoast Syndrome - complications ; Pancoast Syndrome - diagnosis ; Pancoast Syndrome - pathology ; Positron Emission Tomography Computed Tomography ; Shoulder ; Shoulder Pain - diagnostic imaging ; Shoulder Pain - etiology ; Tomography ; Tomography, X-Ray Computed ; Tumors ; Unusual Association of Diseases/Symptoms</subject><ispartof>BMJ case reports, 2019-01, Vol.12 (1), p.bcr-2018-227873</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-948941dd15787b3286762c6b15d11c45c150bde8c8d9e5e7acca612ea74130463</citedby><cites>FETCH-LOGICAL-b456t-948941dd15787b3286762c6b15d11c45c150bde8c8d9e5e7acca612ea74130463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347942/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347942/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30683661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shanmugathas, Nimlan</creatorcontrib><creatorcontrib>Rajwani, Kapil Mohan</creatorcontrib><creatorcontrib>Dev, Shumontha</creatorcontrib><title>Pancoast tumour presenting as shoulder pain with Horner’s syndrome</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>A 54-year-old man presented to the emergency department with a 4-week history of right shoulder pain radiating down his arm, with some associated sensory loss. Further questioning and examination in the department revealed a classical Horner’s syndrome; miosis, partial ptosis and hemifacial anhidrosis. An initial chest X-ray was deemed to be unremarkable; however, further review by a radiologist noted asymmetrical right apical thickening. A subsequent high-resolution CT scan of the chest revealed a right-sided Pancoast tumour. 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| subjects | Brain research Case reports Emergency Service, Hospital Horner Syndrome - complications Horner Syndrome - diagnosis Humans Lung cancer Lung Neoplasms - complications Lung Neoplasms - diagnosis Lung Neoplasms - pathology Male Medical imaging Middle Aged Pain Pancoast Syndrome - complications Pancoast Syndrome - diagnosis Pancoast Syndrome - pathology Positron Emission Tomography Computed Tomography Shoulder Shoulder Pain - diagnostic imaging Shoulder Pain - etiology Tomography Tomography, X-Ray Computed Tumors Unusual Association of Diseases/Symptoms |
| title | Pancoast tumour presenting as shoulder pain with Horner’s syndrome |
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