Kovach S G, Huslig E L
J Manipulative Physiol Ther. 1984 Mar;7(1):25-31.
Shoulder pain with radiation into the arm and hand in an ulnar nerve dermatomal pattern should be an indicator to the possible existence of a Pancoast tumor. The chiropractic physician should be aware of this malignant tumor and the characteristic clinical syndrome it produces. The physician should furthermore make every possible effort to include the apical region of the lung on any shoulder or cervical spine radiographs performed. By this careful technique and detailed interpretation of the films, the early and accurate diagnosis of a Pancoast tumor with appropriate referral can be made.
肩部疼痛并沿尺神经皮节模式向手臂和手部放射，应提示可能存在潘科斯特肿瘤。整脊医师应了解这种恶性肿瘤及其产生的特征性临床综合征。此外，医师应在进行任何肩部或颈椎X光检查时，尽一切可能将肺尖区域纳入检查范围。通过这种细致的技术和对片子的详细解读，可以对潘科斯特肿瘤进行早期准确诊断并进行适当转诊。
