Jones James Harvey, Li Angela, Smith S Kendall, Roy Lance, Fras Anne Marie
From the Departments of Chronic Pain Medicine.
Anesthesiology, Duke University Medical Center, Durham, North Carolina.
A A Pract. 2018 Jul 15;11(2):29-31. doi: 10.1213/XAA.0000000000000718.
Pancoast-Tobias syndrome characterizes the signs and symptoms of a superior pulmonary sulcus tumor, and includes arm and shoulder pain, atrophy of intrinsic hand muscles, and ipsilateral Horner syndrome. The rarity and overall poor prognosis of patients with superior pulmonary sulcus tumors associated with Pancoast-Tobias syndrome has led to few reports detailing pain management strategies with adjunctive therapies, such as continuous infusions of ketamine and lidocaine, chemotherapy, radiation, and multimodal oral medication regimens. This case highlights the diagnosis and treatment of pain in a patient with Pancoast-Tobias syndrome.
潘科斯特 - 托拜厄斯综合征表现为肺尖沟肿瘤的体征和症状，包括手臂和肩部疼痛、手部固有肌肉萎缩以及同侧霍纳综合征。与潘科斯特 - 托拜厄斯综合征相关的肺尖沟肿瘤患者罕见且总体预后较差，导致很少有报告详细阐述使用辅助疗法（如氯胺酮和利多卡因持续输注、化疗、放疗以及多模式口服药物方案）的疼痛管理策略。本病例突出了潘科斯特 - 托拜厄斯综合征患者疼痛的诊断和治疗。
