Deibener J, Spaeth D, Kaminsky P
Service de médecine interne J, centre hospitalier universitaire de Nancy, hôpitaux de Brabois, Vandoeuvre, France.
Rev Med Interne. 1999 Nov;20(11):1028-30. doi: 10.1016/s0248-8663(00)87083-6.
Pancoast's syndrome is generally due to superior sulcus tumors, generally bronchial cancer. In rare cases, other causes are found, but these are potentially curable.
CASE-REPORT: A 78-year old woman with a long history of tobacco intake presented with Pancoast's syndrome in the form of a locally invasive left apical lung mass. Despite her advanced age and the diagnosis of the high probability of lung cancer, a transparietal biopsy procedure was nevertheless performed, with the subsequent diagnosis of primary malignant pulmonary lymphoma. The patient was satisfactorily treated by combined chemotherapy.
The present study has shown that malignant non-Hodgkin lymphomas should be considered in the etiology of the disease, and as a rare but potentially treatable cause of Pancoast's syndrome.
潘科斯特综合征通常由肺尖部肿瘤引起，一般为支气管癌。在极少数情况下，会发现其他病因，但这些病因有可能治愈。
一名有长期吸烟史的78岁女性，以局部浸润性左肺尖肿块的形式出现潘科斯特综合征。尽管她年事已高且肺癌诊断可能性很大，但仍进行了经胸壁活检，随后诊断为原发性恶性肺淋巴瘤。该患者通过联合化疗得到了满意的治疗。
本研究表明，在该疾病的病因中应考虑恶性非霍奇金淋巴瘤，它是潘科斯特综合征的一种罕见但有可能治愈的病因。
