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Journal of Bone and Joint Surgery, 1973;55:1645-1650.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Orthopaedic Aspects and Early Diagnosis of Superior Sulcus Tumor of Lung (Pancoast)

DAN M. SPENGLER M.D.1, MARVIN M. KIRSH M.D.1, and HERBERT KAUFER M.D.1

1 From Sections of Orthopaedic and Thoracic Surgery, University of Michigan Medical Center, Ann Arbor

Fifty-one patients with superior sulcus tumor of lung (Pancoast) treated over a seventeen-year period were reviewed. Musculoskeletal complaints were the presenting symptoms in forty-six patients. The clinical manifestations and diagnostic pitfalls are discussed and recommendations advanced for a thorough roentgenographic study of the thoracic inlet in any patient with persistent shoulder or neck pain, with or without brachialgia. Should any apical lung abnormality be detected, a thorough evaluation including biopsy is indicated.


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