What does a Pancoast tumor feel like?

Patients with an advanced Pancoast tumor may feel intense, constant or radiating pain in their arms, around their chest wall, between their shoulder blades or traveling into their upper back. Patients whose tumor has spread into the scalene muscles may also feel pain in their armpit.

How do I know if I have a Pancoast tumor?

The initial symptom of a pancoast tumor is pain in the shoulder radiating to the inner part of the scapula (large, triangular, flattened bone that lies over the ribs on the back). The pain may later extend to the inner side of the arm, elbow, and the pinky and ring fingers.

Where is Pancoast tumor pain located?

Pancoast Tumor Symptoms

Although a Pancoast tumor is a lung tumor, it rarely causes symptoms that are typically related to the lungs (like cough or chest pain). The initial symptom is usually pain in the shoulder, the inner part of the shoulder blades, or both.

Does a Pancoast tumor hurt when you breathe?

Pancoast tumors are a rare type of lung cancer. They grow in the top part of the lungs. They don’t cause the same symptoms as other types of lung cancer, like a cough that won’t go away, wheezing, shortness of breath, bloody mucus, or pain when you breathe.

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Can you palpate a Pancoast tumor?

Routine screening steps will completely miss the presence of pancoast tumor. When there is clinical suspicion, focused exam should be made. Palpate the supraclavicular fossa for tumor. The mass is superficial and should be palpable.

Is Pancoast tumor pain worse at night?

Shoulder discomfort that is related to lung cancer may worsen at night, be present while resting or occur without impacting range of motion. Lung cancer that is not classified as a Pancoast tumor may also cause a hacking cough, shortness of breath and wheezing, among other respiratory symptoms.

Can you survive a Pancoast tumor?

For patients with early-stage, surgically-treatable cancer, the five-year survival rate is generally considered to be between 30 and 50 percent, although rates as high as 90 percent have been more reported in patient groups with very favorable characteristics.

When should I worry about shoulder pain?

You require immediate medical attention. You should also seek immediate medical attention if your shoulder pain is caused by an injury. Please seek help right away if you are experiencing a joint that appears deformed, the inability to use the joint, intense pain, or sudden swelling.

What does a shoulder tumor feel like?

When they spread, they can cause you to feel shoulder pain. Pancoast tumors may not only cause shoulder pain, but also arm pain, muscle weakness, tingling skin, and a loss of feeling in the area. As they grow, the pain can spread to your upper back, between your shoulder blades, your arm, and even your armpit.

What is paraneoplastic syndrome?

Paraneoplastic syndromes are rare disorders that are triggered by an altered immune system response to a neoplasm. They are defined as clinical syndromes involving nonmetastatic systemic effects that accompany malignant disease. [1,2,3]

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How rare is a Pancoast tumor?

Diagnosis of a Pancoast tumor is challenging and often delayed because its symptoms are similar to those of bone and joint diseases. Also, since Pancoast tumors are rare — making up only 3 to 5 percent of all lung cancers — they may be unfamiliar to doctors.

What are mediastinal masses?

Mediastinal tumors are growths that form in the area of the chest that separates the lungs. This area, called the mediastinum, is surrounded by the breastbone in front, the spine in back, and the lungs on each side. The mediastinum contains the heart, aorta, esophagus, thymus, trachea, lymph nodes and nerves.

What organ is behind your left shoulder blade?

The spleen sits under your rib cage in the upper left part of your abdomen toward your back. It is an organ that is part of the lymph system and works as a drainage network that defends your body against infection.