Bonaventura I, Mir I, Marcos J A, Bastus R, Rami R, Martínez I, Aguilar M
Servicio de Neurología, Hospital Mutua de Terrassa, Barcelona.
Rev Clin Esp. 1993 Nov;193(8):435-7.
We present four patients with pancoast tumor diagnosed between 6 to 13 months after the appearance of symptoms. In three of the patients, the presence of old pulmonary apical fibrous lesions complicated diagnosis by simple radiology. Clinical suspicion of the tumor provided the basis for further complementary explorations which confirmed the apical lesion: TC in two patients and RM in the third. Three patients histological diagnosis was obtained by aspirative transthoracic punction. The late diagnosis resulted in the treatment being purely palliative in three cases. It should be stressed that when presented with persistent shoulder pain, clinicoradiological assessment need to be exhaustive in order to make an early diagnosis.
我们报告了4例肺上沟瘤患者，这些患者在出现症状后6至13个月被确诊。其中3例患者存在陈旧性肺尖纤维性病变，这使得单纯放射学诊断变得复杂。对肿瘤的临床怀疑为进一步的辅助检查提供了依据，这些检查证实了肺尖病变：2例患者进行了胸部CT检查，第3例患者进行了磁共振成像检查。3例患者通过经胸穿刺抽吸获得了组织学诊断。诊断延迟导致3例患者的治疗仅为姑息性治疗。应当强调的是，当出现持续性肩部疼痛时，临床放射学评估需要全面详尽，以便早期诊断。
