Patients with shoulder pain commonly present to a general practitioner and/or in the orthopedic department. In some instances, pain in the shoulder region can indicate serious underlying pathology. This article describes an elderly smoker presenting with progressively worsening shoulder pain not conforming to musculoskeletal, neuropathic or mechanical type pain and with poor response to conventional pain management protocols. Evaluation with meticulous history, physical signs, chest imaging findings, and histopathology confirmed the diagnosis of a rare clinical condition the Pancoast tumor.
A primary pulmonary angiosarcoma is an extremely rare entity with fewer than 30 cases reported in the literature. We found no reports of primary pulmonary angiosarcoma presenting as a Pancoast tumor. We describe a case of pulmonary angiosarcoma located in the right superior sulcus that was treated by surgery.
Lung cancer is most often located in the right upper lobe and is called a Pancoast tumor. On many occasions, the Pancoast tumor begins with osteomyoarticular manifestations. A 72-year-old white male patient of peasant origin is presented who attends the Guard Corps because for a few weeks an increase in volume has been noted on the back of the right hand accompanied by pain in the absence of trauma. An X-ray of the hand was performed, observing osteolysis of the carpal bones, in the preoperative preparation a chest X-ray was performed where an image of condensation of the upper lobe of the right lung was observed. An excisional biopsy of the carpal lesion was performed, the result of which was metastasis of highly undifferentiated lung adenocarcinoma.
Cardiopulmonary bypass for resection of pancoast tumor with mediastinal extension and involvement of right bronchial branch: A case report