Department of Pulmonary, Critical Care and Sleep Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2022 Feb 15;60(246):211-213. doi: 10.31729/jnma.6620.
Small cell lung cancer mostly arises centrally in the large bronchi. The literature search revealed very limited cases of small cell lung cancer arising at the upper part of the pulmonary sulcus near the thoracic inlet as superior sulcus tumor and also manifesting with typical Pancoast syndrome. We report a case of a 71 years old male patient, presenting with features of Pancoast syndrome including Horner's syndrome with completed three cycles of chemotherapy resulting in partial response which concludes that small cell lung carcinoma has to be considered despite the clinical findings like pancoast syndrome.
小细胞肺癌主要起源于较大的支气管中央。文献检索显示,非常有限的小细胞肺癌病例起源于靠近胸廓入口的肺沟上部,表现为上沟瘤,并伴有典型的潘科斯特综合征。我们报告了一例 71 岁男性患者,表现为潘科斯特综合征的特征,包括霍纳综合征,完成了三个周期的化疗,结果部分缓解,这表明即使有潘科斯特综合征等临床表现,也必须考虑小细胞肺癌。