A 60-year-old male with a 40-pack-year smoking history presents with severe right shoulder pain radiating to the medial forearm and fourth and fifth digits. Physical examination reveals right ptosis, miosis, and anhidrosis. Vital signs show BP 152/88, HR 92, RR 18, temperature 37.2°C. Chest X-ray demonstrates a right apical lung mass. He denies dyspnea or wheezing. Which of the following is the most likely location of his tumor?
- A)Pleural diaphragm
- B)Main carina
- C)Pulmonary apexGABARITO
- D)Tracheal bifurcation
- E)Left lower lobe base
Explicação
A Pancoast tumor arises at the pulmonary apex and can invade the brachial plexus and sympathetic chain. This causes shoulder and ulnar arm pain along with Horner syndrome. The syndrome describes tumor location rather than a single histologic subtype, although ... Ver explicação completa e trilha adaptativa →