RxPG - the perfect Rx for medical Post Graduate entrance blues!
Mobile Edition | Help/Newbie? | 24/7 Support
HOT | PrePG | MCQ | DNB | Careers | Books | Colleges | Dental | DocIndia | PLAB |  USMLE  | Australia | Canada | GLOBAL | OffBeat!
Articles | Forums | MCQ Crammer | Downloads | Mnemonics | Revision Tools | Recent Shouts | All Features


Local Complications of Lung Cancer

Author: akanksha, Posted on Tuesday, May 01 @ 14:11:55 IST by akanksha  

 FRIEND Add to My Pages   PRINTER Printer Friendly   FRIEND Email Story  FRIEND Download Story  AIIMS alerts 

AIIMS

    A 58-year-old smoker with a chronic cough attends out-patient with a history of severe pain in his left shoulder and radiating down his left arm. There is some weakness in the intrinsic muscles of the left hand. Sputum cytology reveals malignant keratinised cells. Most likely diagnosis is:
    A. Horner's Syndrome
    B. Pancoast's Syndrome
    C. Peripheral Neuropathy
    D. Hypertrophic pulmonary osteoarthropathy


    Correct Answer: B. Pancoast's syndrome
    This is a complication of an apically placed lung carcinoma which in most cases is of squamous cell variety. The tumor invades directly into anatomical structures situated in this area including ribs, thoracic vertebrae and nerve roots.
    Erosion of the ribs results in severe pain in the shoulder.
    Infiltration of the lower part of the brachial plexus (C8-T2) results in:
    -Pain down the inner surface of the arm and the fourth and fifth fingers.
    -Paralysis and wasting of the muscles of the hand and forearm.
    -There may also be a unilateral laryngeal nerve palsy and vocal cord paralysis causing a hoarse voice/ bovine cough.
    The other well-recognised syndrome is Horner’s syndrome, caused by involvement of sympathetic fibres as they exit the cord at T1 to ascend to the superior cervical ganglion (miosis, ptosis, enophthalmosis).
    Rather confusingly, a Pancoast tumour can lead to both Pancoast’s and Horner’s syndromes.
© 2007 onwards by Akanksha



4 (Excellent) 3(Good) 2(Good) 1(Bad)   


Recommended Books for AIIMS
• Books to read for AIIMS by RxPG

Related AIIMS articles
• Arrythmias
• Local Complications of Lung Cancer
• Paraneoplastic Syndromes
• Causes of Collapse and Confusion
• Pigmented lesions of the skin-2
• Pigmented Lesions of the Skin
• How to crack AIIMS and AIPGE by Subra
• RxPG Interview with Dr. Aditya Soral, 3rd Rank, AIIMS May 2006
• AIIMS PG Entrance December 1999 Question Paper
• AIIMS PG (MD/MS) Entrance Exam Results - November 2005
• Key to AIIMS Nov2005 Exam Confirmed with Textbooks and Google
• Key to AIIMS November 2005 PG Entrance with References by Vimoj
• AIIMS Medical PG Entrance Online Mock Test 217
• AIIMS PG/MD/MD/MDS Entrance Exam Result for Exam Dated 08-05-2005
• AIIMS DM/MCH/MHA Courses Exam Result for July 2005 Session
• AIIMS May 2005 Question Paper
• List of candidates with 50% or more marks in AIIMS-PG Entrance Exam, Nov 04
• Result of AIIMS D.M./M.Ch./M.H.A. Entrance Examination - 19th December, 2004
• Results of AIIMS-PG Entrance examination held on 7-11-04
• AIIMS November 2004 Question Paper

Related AIIMS Discussions

Other articles by akanksha
• MRCPsych CASC EXAM STATIONS (3rd April 2009)
• Arrythmias
• Local Complications of Lung Cancer
• Paraneoplastic Syndromes
• Causes of Collapse and Confusion
• Pigmented lesions of the skin-2
• Pigmented Lesions of the Skin
• End of MRCS Examination
• SBAs introduced in MRCS Part 1 Paper
• PLAB Part 2 is not a difficult exam!!!
• Day Case Surgery
• JIPMER 2005 PG Courses notification
• SGPGI Lucknow 2005 MD MS session notification
• Books To Read For CET-NBE
• Overactive Bladder
• DNB: Information Vitae!
• New Revised Prospectus For Kerala PG
• vexatious sites
• The Devic's Devilry
• The Aching Heart!

 AIIMS FAQ
  FAQ: How to get a rank in top 100 in AIIMS PG Entrance?
  FAQ: Books to be Read for AIIMS?
  FAQ: How many repeats were there in AIIMS Nov 2011?
  FAQ: What could be my rank at 35% score in AIIMS?
  Browse all FAQs


Write an Article on AIIMS
You can share your exam experiences, preparation strategies, books you have read or just any information about AIIMS on RxPG website and we will publish it under your name.

Article Rating
Average Score: 4.19
Votes: 131




Most Read Article
AIIMS Medical PG Entrance Online Mock Test 217

Related Links
· AIIMS Official Website
· AIIMS Educational Website
· RxPG AIIMS Books
· RxPG Postal Course
· Medical Books at Amazon.com
· AIIMS Forum
· Discuss Past Papers
· AIIMS PG Results Page
· AIIMS Nov 2003 Paper
· AIIMS May 2003 Paper
· AIIMS Nov 2001 Paper
· AIIMS May 2001 Paper






ARTICLE TOOLS

· AIIMS section
· Articles by akanksha
· Add to my pages
· Printer friendly version
· PDF version
· Email article
· Feedback on this article
· Medical tutorials
· Related forum posts
· Related articles
· Related downloads
· Submit article
· AIIMS alerts
· AIIMS books
· AIIMS past papers


Most read story about AIIMS:
AIIMS Medical PG Entrance Online Mock Test 217



Server Status: 80 pages served in last minute. Page generation time: 0.116 seconds

Site Maps: [Books] [News] [Forums] [Reviews] [Mnemonics]

sitemap - top30 - centuries - testimonials


About Us :: Disclaimer :: Contact Us :: Reporting abuse :: Terms of Services :: Privacy Policy

Advertise with RxPG!
Made in India by RxPG Medical Solutions Private Limited

"RxPG" is a Registered Trademark

Chrome Web Store YouTube Twitter LinkedIn Wikipedia Facebook