Pancoast tumor

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Classification according to ICD-10
C34.1 Malignant neoplasm: upper lobe (bronchus)
ICD-10 online (WHO version 2019)
Classification according to ICD-O-3
C34.1 Upper lobe of the lung
8010/3 Carcinoma NOS
ICD-O-3 first revision online

The Pancoast tumor (syn. Apical sulcus tumor ) - named after the American radiologist Henry Pancoast (1875-1939) - is a rapidly progressing peripheral bronchial carcinoma in the area of ​​the apex pulmonis or the upper pulmonary furrow, which relatively quickly affects the ribs , Cervical soft parts, arm mesh and vertebrae. This is why this tumor is also known as the “ breakout cancer ”.

The tissue of the tumors does not differ from other lung carcinomas. The first person to describe it was the American radiologist Henry Pancoast (1875-1939).

The disease often manifests itself with a characteristic Pancoast syndrome :

  • Shoulder / arm pain
  • Paresthesia (abnormal sensation) of the forearm
  • Paresis (paralysis)
  • Hand muscle atrophy
  • Upper congestion due to narrowing of the neck veins
  • Rib pain
  • Horner syndrome (damage to the autonomic nervous system)

Web links

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Urban & Fischer; Lexicon editing. Roche Lexicon Medicine. Munich; Elsevier, Urban & Fischer, 2003, ISBN 3-437-15150-9 .