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Pancoast Tumor

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1. Robotic Hybrid Approach for an Anterior Pancoast Tumor in a Severely Obese Patient. (PubMed)

Robotic Hybrid Approach for an Anterior Pancoast Tumor in a Severely Obese Patient. Several different surgical approaches to anterior Pancoast tumors have been proposed. The osteomuscular-sparing transmanubrial approach allows optimal exposure and control of apical chest wall structures, but it requires an additional thoracotomy to perform the lobectomy with radical lymph node resection. The presented technique combines the osteomuscular-sparing transmanubrial approach with robotic-assisted

2018 Annals of Thoracic Surgery

2. Trimodality therapy for Pancoast tumors: T4 is not a contraindication to radical surgery. (PubMed)

Trimodality therapy for Pancoast tumors: T4 is not a contraindication to radical surgery. This study aims to evaluate the impact of T stage and extended surgery on the outcome of patients with Pancoast tumors after induction chemoradiation therapy.Forty-six consecutive patients who underwent chemoradiation therapy (platin-based, 45-66 Gy) followed by surgery between 1998 and 2013 were retrospectively reviewed and analyzed.In 28 (61%) patients with T4 tumors, extended procedures (more than rib (...) , pathological positive N stage had a negative impact on OS and lack of pathological response negatively impacted both OS and DFS.Trimodality treatment including radical resection for Pancoast tumors provides good surgical outcome and favorable long-term results. Survival of patients with T4 tumors and extended surgical procedures comparable to that of patients with T3 tumors undergoing rib resection only.© 2017 Wiley Periodicals, Inc.

2017 Journal of Surgical Oncology

3. A rare presentation of myxofibrosarcoma as a Pancoast tumor: a case report (PubMed)

A rare presentation of myxofibrosarcoma as a Pancoast tumor: a case report Myxofibrosarcoma is an aggressive soft tissue neoplasm, classified as a variant of malignant fibrous histiocytoma. Most often, it occurs in middle to late adult life peaking in the seventh decade and involving the lower extremities (77%), trunk (12%), and retroperitoneum or mediastinum (8%). We report the first case of thoracic myxofibrosarcoma presenting as a Pancoast tumor.A 48-year-old non-tobacco smoking African (...) at the level of the pulmonary trunk, superiorly into the superior sulcus and posteriorly into his chest wall. Surgical pathology confirmed the diagnosis of myxofibrosarcoma.Here we present a case of Pancoast tumor with myxofibrosarcoma as the underlying etiology. Pancoast syndrome generally entails an infiltrating lesion in the superior sulcus presenting with upper extremity pain, atrophy of the hand muscles, and Horner's syndrome. The differential diagnosis of Pancoast syndrome includes inflammatory

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2017 Journal of medical case reports

4. Less Invasive Approach to Pancoast Tumor in a Partitioned Incision (PubMed)

Less Invasive Approach to Pancoast Tumor in a Partitioned Incision We describe our approach to resect a Pancoast tumor with thoracoscopic assistance in a partitioned incision. We used the LigaSure vessel-sealing system under thoracoscopy in chest wall resection for Pancoast tumor. This approach is of great utility: easy-to use and less invasive for Pancoast tumor resection.

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2017 Annals of Thoracic and Cardiovascular Surgery

5. Pancoast tumor approach through oesophagus (PubMed)

Pancoast tumor approach through oesophagus Patient with Pancoast Tumor usually present in advanced stage of the disease which requires chemotherapy and radiotherapy as options of treatment. Histologic confirmation is a key for further treatment of these patients. Normally in bronchoscopy the lesion can't be visualised and in result making biopsy difficult to perform. Transthoracic biopsy through computed tomography poses anatomic difficulties and not always the pulmonary lesion can be reached (...) . We report a case of pancoast tumor in a 68 year old male who presented with left arm pain and upper lobe increased density mass in chest x ray. Computed tomography confirmed an upper lobe mass of the left lung with invasion of the chest wall. It was successfully diagnosed with biopsy taken through the oesophagus of intrapulmonary mass with the EBUS bronchoscope (EUS- B FNA). No complication were observed during and after the procedure. To our knowledge this is the first case of making

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2017 Respiratory Medicine Case Reports

6. Superior sulcus tumors (Pancoast tumors) (PubMed)

Superior sulcus tumors (Pancoast tumors) Superior Sulcus Tumors, frequently termed as Pancoast tumors, are a wide range of tumors invading the apical chest wall. Due to its localization in the apex of the lung, with the potential invasion of the lower part of the brachial plexus, first ribs, vertebrae, subclavian vessels or stellate ganglion, the superior sulcus tumors cause characteristic symptoms, like arm or shoulder pain or Horner's syndrome. The management of superior sulcus tumors has

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2016 Annals of Translational Medicine

7. Video-assisted pulmonary lobectomy combined with transmanubrial approach for anterior Pancoast tumor resection: case report (PubMed)

Video-assisted pulmonary lobectomy combined with transmanubrial approach for anterior Pancoast tumor resection: case report The mini-ivasive approach to superior sulcus tumors is an uncommon procedure that is still far from standardization. We describe a hybrid surgical technique to approach "en block" chest resection and pulmonary lobectomy for anterior superior sulcus tumors.A patient affected by right anterior Pancoast tumor surgically staged as cT4N0M0 (suspected anonymous vein invasion (...) ) underwent chemo-radiation induction therapy with satisfactory tumor reduction. The surgical operation comprised an initial VATS approach to the hilar structures followed by a limited C-shaped anterior contra-incision; finally, the right upper lobe "en block" with the anterior part of the first and second rib was removed. The whole procedure was conducted with the patient in the supine position; no rib retractors were used. The definitive stage was ypT0N0M0. The patient had an uneventful hospital stay

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2016 Journal of cardiothoracic surgery

8. Pancoast Tumor

Pancoast Tumor Pancoast Tumor Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pancoast Tumor Pancoast Tumor Aka: Pancoast Tumor From (...) Related Chapters II. Definition Apical Tumor of superior sulcus lung III. Course Superior sulcus marked by subclavian artery Grows into thoracic outlet IV. Signs Supraclavicular fullness Venous distension Upper extremity edema and muscle wasting (C8-T3) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pancoast Tumor." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip

2018 FP Notebook

9. Extracorporeal Lung Support as a Bridge to Airway Stenting and Radiotherapy for Airway-Obstructing Pancoast Tumor. (PubMed)

Extracorporeal Lung Support as a Bridge to Airway Stenting and Radiotherapy for Airway-Obstructing Pancoast Tumor. Venovenous (V-V) extracorporeal membrane oxygenation (ECMO) is used for respiratory failure that is suspected to be reversible (bridge to recovery), or as a bridge to lung transplantation. Patients with proximal airway obstruction due to endobronchial malignancy can develop acute respiratory failure, and may benefit from V-V ECMO as a bridge to airway intervention, further (...) treatment, and eventual recovery. We describe a case of a superior sulcus tumor with tracheobronchial and superior vena cava invasion causing both respiratory failure and superior vena cava syndrome. This was treated successfully with V-V ECMO, bronchial stenting, and radiotherapy. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

2016 Annals of Thoracic Surgery

10. Single Posterior Approach for En-Bloc Resection and Stabilization for Locally Advanced Pancoast Tumors Involving the Spine: Single Centre Experience (PubMed)

Single Posterior Approach for En-Bloc Resection and Stabilization for Locally Advanced Pancoast Tumors Involving the Spine: Single Centre Experience Monocentric prospective study.To assess the safety and effectiveness of the posterior approach for resection of advanced Pancoast tumors.In patients with advanced Pancoast tumors invading the spine, most surgical teams consider the combined approach to be necessary for "en-bloc" resection to control visceral, vascular, and neurological structures (...) . We report our preliminary experience with a single-stage posterior approach.We included all patients who underwent posterior en-bloc resection of advanced Pancoast tumors invading the spine in our institution between January 2014 and May 2015. All patients had locally advanced tumors without N2 nodes or distant metastases. All patients, except 1, benefited from induction treatment consisting of a combination of concomitant chemotherapy (cisplatin-VP16) and radiation.Five patients were included

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2016 Asian spine journal

11. An unusual cause of acute headache: subarachnoid free air secondary to spontaneous bronchopleurodurosubarachnoid fistula from a Pancoast tumor (PubMed)

An unusual cause of acute headache: subarachnoid free air secondary to spontaneous bronchopleurodurosubarachnoid fistula from a Pancoast tumor Pneumocephalus and pneumorrhachis are related to transgression of the barriers to the central nervous system. We present a patient with a Pancoast tumor treated with palliative chemoradiation who developed symptomatic spinal and intracranial air caused by spontaneous bronchopleurodurosubarachnoid fistula secondary to direct tumor invasion into the thecal

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2016 Radiology Case Reports

12. Recurrent Diffuse Large B-Cell Lymphoma Presenting with Pancoast Syndrome: A Rare Cause of Radicular Neck Pain in the Emergency Department. (PubMed)

Recurrent Diffuse Large B-Cell Lymphoma Presenting with Pancoast Syndrome: A Rare Cause of Radicular Neck Pain in the Emergency Department. Pancoast syndrome is an uncommon complication of apical lung tumors. Symptoms include pain, brachial plexopathy, and Horner's syndrome, and are the result of extrinsic compression of tissues within the thoracic inlet. Lymphoma is a very rare etiology.We describe the presentation of a 59-year-old male with recurrent diffuse large B-cell lymphoma presenting (...) with Pancoast syndrome. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Cancer is an uncommon cause of radicular neck pain but should be considered in the differential, particularly when constitutional complaints are also present. Symptoms and physical examination findings associated with Pancoast syndrome are the consequence of compression of the C7-T2 vertebral roots and sympathetic chain. Computed tomography is usually required to definitively visualize the mass.Copyright © 2018 Elsevier Inc. All

2018 Journal of Emergency Medicine

14. Pancoast Tumor (Diagnosis)

Pancoast Tumor (Diagnosis) Pancoast Syndrome: Practice Essentials, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg0MDExLW92ZXJ2aWV3 processing > Pancoast Syndrome Updated: Nov 14, 2017 (...) in the shoulder region radiating toward the axilla and scapula, with later extension along the ulnar aspect of the arm to the hand Atrophy of hand and arm muscles ( , miosis, hemianhidrosis, ) Compression of the blood vessels with edema Most Pancoast tumors are (SCCs) or adenocarcinomas; only 3-5% are small cell carcinomas. Squamous cell carcinoma occurs more frequently, although large cell and undifferentiated types are also common. Adenocarcinoma is sometimes found in this location and can even

2014 eMedicine Surgery

15. Pancoast Tumor

Pancoast Tumor Pancoast Tumor Imaging: Overview, Radiography, Computed Tomography Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzU5ODgxLW92ZXJ2aWV3 processing > Pancoast Tumor Imaging Updated: Nov 23, 2015 (...) Author: Melanie Guerrero, MD; Chief Editor: Eugene C Lin, MD Share Email Print Feedback Close Sections Sections Pancoast Tumor Imaging Overview Overview Pancoast tumors are neoplasms of pulmonary origin located at the apical pleuropulmonary groove (superior sulcus). [ , ] Pancoast tumors and their associated morbidities are presented in images below. Pancoast tumor. A 53-year-old man with a 50 pack-year history of smoking began experiencing upper back pain for several weeks. PA chest radiograph shows

2014 eMedicine Radiology

16. Pancoast Tumor (Treatment)

Pancoast Tumor (Treatment) Pancoast Syndrome Treatment & Management: Approach Considerations, Preoperative Evaluation, Preoperative Chemoradiotherapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg0MDExLXRyZWF0bWVudA== processing > Pancoast Syndrome Treatment & Management Updated: Nov 14, 2017 Author: Karl J D'Silva, MD; Chief Editor: Nagla Abdel Karim, MD, PhD Share Email Print Feedback Close Sections Sections Pancoast Syndrome Treatment Approach Considerations Pancoast tumors were once considered universally fatal. However, improvements in combined modality therapy and the development of new techniques for resection have made curative treatment possible for these tumors. [ , ] For example, in 1993

2014 eMedicine Surgery

17. Pancoast Tumor (Overview)

Pancoast Tumor (Overview) Pancoast Syndrome: Practice Essentials, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg0MDExLW92ZXJ2aWV3 processing > Pancoast Syndrome Updated: Nov 14, 2017 (...) in the shoulder region radiating toward the axilla and scapula, with later extension along the ulnar aspect of the arm to the hand Atrophy of hand and arm muscles ( , miosis, hemianhidrosis, ) Compression of the blood vessels with edema Most Pancoast tumors are (SCCs) or adenocarcinomas; only 3-5% are small cell carcinomas. Squamous cell carcinoma occurs more frequently, although large cell and undifferentiated types are also common. Adenocarcinoma is sometimes found in this location and can even

2014 eMedicine Surgery

18. Pancoast Tumor (Follow-up)

Pancoast Tumor (Follow-up) Pancoast Syndrome Treatment & Management: Approach Considerations, Preoperative Evaluation, Preoperative Chemoradiotherapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg0MDExLXRyZWF0bWVudA== processing > Pancoast Syndrome Treatment & Management Updated: Nov 14, 2017 Author: Karl J D'Silva, MD; Chief Editor: Nagla Abdel Karim, MD, PhD Share Email Print Feedback Close Sections Sections Pancoast Syndrome Treatment Approach Considerations Pancoast tumors were once considered universally fatal. However, improvements in combined modality therapy and the development of new techniques for resection have made curative treatment possible for these tumors. [ , ] For example, in 1993

2014 eMedicine Surgery

19. Pancoast Tumor: The Role of Magnetic Resonance Imaging (PubMed)

Pancoast Tumor: The Role of Magnetic Resonance Imaging We report imaging techniques in the definition of the therapeutic planning of a 65-year-old man with a diagnosis of Pancoast tumor. Computed Tomography has a pivotal role in the assessment of nodes involvement and distant metastasis. Magnetic Resonance allows a detailed study of locoregional extension for its high soft tissue resolution. We particularly highlight the actual importance of Magnetic Resonance Neurography, Diffusion-Weighted

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2013 Case Reports in Radiology

20. Hepatoid Pancoast tumor. A case report and review of the literature. (PubMed)

Hepatoid Pancoast tumor. A case report and review of the literature. A 48-year-old male patient presented with a Pancoast tumor of the right lung and a serum alpha-fetoprotein (αFP) at 39,000 ng/ml. Alpha-fetoprotein is a tumor marker found elevated in patients with hepatocellular carcinoma (HCC), germ cell or stromal tumors of the ovary and nonseminomatous testicular cancer. Occasionally, this tumor marker may rise in non-neoplastic conditions such as cirrhosis and hepatitis and only (...) exceptionally in rare cancers with hepatoid differentiation. We present our case report and review the English literature for αFP-producing lung carcinomas. To the best of our knowledge this is the first report in the literature of an αFP producing Pancoast tumor.Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

2012 Lung Cancer

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