Once again about difficulties of early diagnosis of Pancoast tumor (case studies)
https://doi.org/10.36604/1998-5029-2019-73-69-75
Abstract
Lung cancer is the most common cancer pathology. But, despite this, it is in most cases diagnosed late, when surgical treatment is impossible or ineffective. This is due to the lack of clinical manifestations of the disease in the early stages. Some localization of lung cancer, in particular, cancer of the apical segment of the lung occurs with neurological symptoms (Pancoast syndrome, Horner syndrome), excruciating pain in the upper limb on the side of the lesion, which makes the diagnosis even more difficult. The present report demonstrates two cases of apical lung cancer with differences in clinical manifestations, united by late diagnosis.
About the Authors
S. V. Kruglyakov
Medical and Sanitary Unit number 28 of the Federal Penitentiary Service
Russian Federation
Russian Federation
Sergey V. Kruglyakov - MD, Radiologist.
2 Oktyabr’skaya Str., Blagoveshchensk, 675000
V. P. Gordienko
Amur State Medical Academy
Russian Federation
Russian Federation
Viktor P. Gordienko - MD, PhD, D.Sc. (Med.), Professor, Head of Department of Radiation Diagnostics and Radiotherapy with Oncology Course.
95 Gor'kogo Str., Blagoveshchensk
O. V. Lysenko
Amur State Medical Academy
Russian Federation
Russian Federation
Olga V. Lysenko - MD, PhD (Med.), Associate Professor of Department of Radiation Diagnostics and Radiotherapy with Oncology Course.
95 Gor'kogo Str., Blagoveshchensk
O. A. Mazharova
Amur State Medical Academy
Russian Federation
Russian Federation
Olga A. Mazharova - MD, PhD (Med.), Associate Professor of Department of Radiation Diagnostics and Radiotherapy with Oncology Course.
95 Gor'kogo Str., Blagoveshchensk
A. V. Poberezhskiy
Amur Regional Oncology Dispensary
Russian Federation
Russian Federation
Aleksey V. Poberezhskiy - MD, Head of Department of X-Ray Diagnostics.
110 Oktyabr’skaya Str., Blagoveshchensk, 675000
L. V. Kruglyakova
Amur State Medical Academy
Russian Federation
Russian Federation
Lyudmila V. Kruglyakova - MD, PhD (Med.), Assistant of Department of Faculty Therapy.
95 Gor'kogo Str., Blagoveshchensk
Yu. V. Kutilov
Medical and Sanitary Unit number 28 of the Federal Penitentiary Service
Russian Federation
Russian Federation
Yuri V. Kutilov - MD, Radiologist.
2 Oktyabr’skaya Str., Blagoveshchensk, 675000
References
1. Botkin S.P. Left vocal cord paralysis due to compression of the recurrent nerve by an enlarged lymphatic gland in a patient with chronic pulmonary inflammation. Russian Pulmonology 2014; 1:109-112 (in Russian).
2. Garin А.М. Facts, achievements and failures of modern oncology. Аlma-Аta (Kazakhstan); 1980 (in Russian).
3. Kizhaev E.V., Borisov V.I., Stolbovoy А.V., Chernyakhovskaya N.E. Lungs cancer. Clinical features, diagnosis, treatment. Moscow: Binom; 2015 (in Russian).
4. Krechcivsky А.А., Fedotova L.N., Zhavrid А.I., Аbidenko А.V. Clinical supervision of Pancoast s tumour in the serviceman. Amurskiy meditsinskiy zhurnal 2016; 2:87-90 (in Russian).
5. Pikin O.V., Glushko V.А., Kolbanov K.I., Аmiraliev А.М., Vursol DA., Barmin V.V, Bagrov V.А. Surgical approaches to superior sulcus tumours. Povolzhskiy onkologicheskiyj vestnik 2014; 1:45-53 (in Russian).
6. Porkhanov V.А., Polyakov I.S., Bodnya V.N., Kononenko V.B., Kovalenko А.L., Sitnik S.D., Sel'vashhuk А.P. Current aspects of treatment in patients with upper lung cancer. Grudnaya i serdechno-sosudistaya khirurgiya 2008; 1:46-52 (in Russian).
7. Cuchalin А.G., ediror. Respiratory medicine. Guide. Vol.2. Moscow: Litterra; 2017 (in Russian).
8. Rozenshtraukh L.S., Rybakova N.I., Vinner M.G. X-ray diagnosis of respiratory diseases. Moscow: Meditsina; 1987 (in Russian).
9. Trakhtenberg А.Kh., Kolbanov K.I. Lung cancer. Moscow: GEOTАR-Media; 2012 (in Russian).
10. Amiraliev A.M., Bagrova S.G, Bolotina L.V., Boyko A.V., Borisova T.N., Breder V.V., Bychkov M.B., Glushko V.A., Gorbunova V.A., Kolbanov K.I., Kolomeytseva A.A., Koroleva L.A., Laktionov K.K., Marenich A.F., Meshcheryakova I.A., Mikhina Z.P., Pikin O.V, Polotskiy B.E., Reutova E.V., Tyulyandin S.A., Trakhtenberg A.H., Chernichenko A.V. Federal guidelines for the diagnosis and treatment of lung cancer patients. Moscow; 2013 (in Russian).
11. Pancoast H.K. Importance of careful roentgen-ray investigation of apical chest tumor. JAMA. 1924; 83(18):1407-1411. doi:10.1001/jama.1924.02660180025007
Review
For citations:
Kruglyakov S.V., Gordienko V.P., Lysenko O.V., Mazharova O.A., Poberezhskiy A.V., Kruglyakova L.V., Kutilov Yu.V. Once again about difficulties of early diagnosis of Pancoast tumor (case studies). Bulletin Physiology and Pathology of Respiration. 2019;(73):69-75. (In Russ.) https://doi.org/10.36604/1998-5029-2019-73-69-75
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