Becker H, Wacha H, Ungeheuer E
Fortschr Med. 1977 Sep 15;95(34):2047-52.
Pancoast-tumor is a rare form of malignant tumor in the superior pulmonary sulcus. In our clinic out of 910 operated bronchial carcinomas 18 were Pancoast-tumors. The clinical findings with tumor of the apical lobe of the lung, shoulder-arm pain, Horner syndrome, rib destruction as well as neurological findings are discussed. The proper treatment consists of radical resection of the affected lobe, cranial thoracic wall and affected nerve tissue. The prognosis depends on the extension and lymph node metastases. Only early diagnosis, radical tumor-resection and postoperative radiation can improve prognosis and survival time.
潘科斯特瘤是一种位于肺尖沟的罕见恶性肿瘤形式。在我们的诊所，910例接受手术的支气管癌患者中有18例是潘科斯特瘤。本文讨论了肺尖叶肿瘤的临床表现、肩臂疼痛、霍纳综合征、肋骨破坏以及神经学表现。恰当的治疗方法包括对受影响的肺叶、胸壁上部和受影响的神经组织进行根治性切除。预后取决于肿瘤的扩散程度和淋巴结转移情况。只有早期诊断、根治性肿瘤切除和术后放疗才能改善预后和延长生存时间。
