20 Questions
Pancoast tumor is a type of ________ carcinoma.
Bronchogenic
The most common first symptom of a Pancoast tumor is ________ pain and weakness.
arm
Horner syndrome is characterized by drooping eyelid, constricted pupil, and lack of sweating, and is caused by invasion of the ________ chain and Stella the ganglion.
sympathetic
The diagnosis of Pancoast tumor can be confirmed through sputum analysis, fiber optic bronchoscopy with biopsy, and ________ transthoracic needle biopsy.
percutaneous
Unilateral apical cap more than 5mm, asymmetry of both apical caps more than 5mm, and bone destruction are all radiological findings of a Pancoast tumor, which can be confirmed through ________ imaging.
CT or MRI
Is Pancoast tumor a common type of lung cancer?
False
Does Horner syndrome involve excessive sweating?
False
Is cough a common symptom of Pancoast tumor?
False
Is CT more accurate than MRI in diagnosing Pancoast tumor?
False
Can Pancoast tumor involve the phrenic nerve and superior vena cava?
True
What are the common symptoms of Pancoast tumor and how are they caused?
Common symptoms of Pancoast tumor include chest pain, shoulder pain, shortness of breath on exertion, and weight loss. These symptoms are caused by neoplastic involvement of brachial plexus, parietal pleura, endothoracic fascia/vertebral bodies, first second and third rib.
What is Horner syndrome and how is it related to Pancoast tumor?
Horner syndrome is a condition characterized by drooping eyelid, constricted pupil, and lack of sweating, caused by invasion of the sympathetic chain and Stella the ganglion. Horner syndrome can be seen in patients with Pancoast tumor, as the tumor can invade the sympathetic chain.
What radiological findings are associated with Pancoast tumor and how can they be confirmed?
Radiological findings of Pancoast tumor include unilateral apical cap more than 5mm, asymmetry of both apical caps more than 5mm, and bone destruction. These findings can be confirmed through CT and MRI imaging.
What are the differential diagnoses for Pancoast tumor and how can they be distinguished from each other?
Differential diagnoses for Pancoast tumor include thoracic neoplasms, metastatic and hematological conditions, infectious disease, and thoracic outlet syndrome. These can be distinguished through various diagnostic tests such as sputum analysis, fiber optic bronchoscopy with biopsy, and percutaneous transthoracic needle biopsy.
What is the treatment for Pancoast tumor and how effective is it?
Treatment for Pancoast tumor typically involves neck brace, corticosteroids, radiation, and chemotherapy. The effectiveness of treatment depends on the stage of the tumor and the patient's overall health.
What is the most common first symptom of a Pancoast tumor?
Arm pain and weakness
What is the cause of Horner syndrome in Pancoast tumor patients?
Invasion of the sympathetic chain and stellate ganglion
What radiological finding is associated with Pancoast tumor?
Unilateral apical cap more than 5mm
Which of the following is NOT a differential diagnosis for Pancoast tumor?
Gastrointestinal disorders
What is the treatment for Pancoast tumor?
Radiation and chemotherapy
Test your medical knowledge: Can you diagnose this patient's symptoms? Take this quiz to identify the possible causes of chest pain, shoulder pain, shortness of breath, weight loss, and other symptoms in a 65-year-old male smoker. With keywords like cachexia, supraclavicular area, interosseous wasting, and miosis, challenge yourself to identify the underlying condition based on X-ray, MRI, and biopsy results. Put your diagnostic skills to the test!
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