Pancoast tumour presenting as shoulder pain with Horner's syndrome. Issue 1 (24th January 2019)

• Record Type: Journal Article
• Authors: Shanmugathas, Nimlan; Rajwani, Kapil Mohan; Dev, Shumontha
• Is Part Of: BMJ case reports. Volume 12:Issue 1(2019)
• Publication Date: 2019-01-24
• Subjects: lung cancer (oncology) -- orthopaedics -- rheumatology; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-227873
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.