Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular Carcinoma
Superior sulcus tumors, also known as Pancoast tumors, present in a distinctive way with Horner's syndrome (ptosis, miosis, and anhidrosis), hand weakness brought on by the atrophy of the intrinsic hand muscles, and excruciating pain along the medial aspect of the arm. (1) Primary lung cancers...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
|
| Series: | Indian Journal of Medical and Paediatric Oncology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769492 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850130257386930176 |
|---|---|
| author | Lakshmi Sandhya Singuluri Prasanth Ganesan Bheemanathi Hanuman Srinivas Biswajit Dubashi Yadav Nisha |
| author_facet | Lakshmi Sandhya Singuluri Prasanth Ganesan Bheemanathi Hanuman Srinivas Biswajit Dubashi Yadav Nisha |
| author_sort | Lakshmi Sandhya Singuluri |
| collection | DOAJ |
| description | Superior sulcus tumors, also known as Pancoast tumors, present in a distinctive way with Horner's syndrome (ptosis, miosis, and anhidrosis), hand weakness brought on by the atrophy of the intrinsic hand muscles, and excruciating pain along the medial aspect of the arm. (1) Primary lung cancers constitute a majority of Pancoast tumors, but Pancoast syndrome can be multifactorial. (2) Here, we present a case of 62-year-old male who presented with right shoulder pain and weakness for 2 months. Clinically, he had a supraclavicular mass with atrophy of the intrinsic muscles of the hand and sensory-motor weakness. Computed tomography showed a mass lesion in the supraclavicular fossa with the erosion of the T1 vertebra and first rib, mimicking carcinoma right upper lobe. However, the biopsy from the mass was suggestive of metastasis from hepatocellular carcinoma (HCC). Our case report identifies HCC as a rare differential for Pancoast syndrome and highlights the unique metastatic presentation. |
| format | Article |
| id | doaj-art-e913841e4b8a4be492fb7928cec3b04d |
| institution | OA Journals |
| issn | 0971-5851 0975-2129 |
| language | English |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Medical and Paediatric Oncology |
| spelling | doaj-art-e913841e4b8a4be492fb7928cec3b04d2025-08-20T02:32:44ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-212910.1055/s-0043-1769492Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular CarcinomaLakshmi Sandhya Singuluri0https://orcid.org/0009-0006-9774-8008Prasanth Ganesan1https://orcid.org/0000-0003-2762-6591Bheemanathi Hanuman Srinivas2Biswajit Dubashi3https://orcid.org/0000-0001-9852-2525Yadav Nisha4Department of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IndiaDepartment of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IndiaDepartment of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IndiaDepartment of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IndiaDepartment of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IndiaSuperior sulcus tumors, also known as Pancoast tumors, present in a distinctive way with Horner's syndrome (ptosis, miosis, and anhidrosis), hand weakness brought on by the atrophy of the intrinsic hand muscles, and excruciating pain along the medial aspect of the arm. (1) Primary lung cancers constitute a majority of Pancoast tumors, but Pancoast syndrome can be multifactorial. (2) Here, we present a case of 62-year-old male who presented with right shoulder pain and weakness for 2 months. Clinically, he had a supraclavicular mass with atrophy of the intrinsic muscles of the hand and sensory-motor weakness. Computed tomography showed a mass lesion in the supraclavicular fossa with the erosion of the T1 vertebra and first rib, mimicking carcinoma right upper lobe. However, the biopsy from the mass was suggestive of metastasis from hepatocellular carcinoma (HCC). Our case report identifies HCC as a rare differential for Pancoast syndrome and highlights the unique metastatic presentation.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769492hepatocellular carcinomaPancoast tumorPancoast syndromemetastasishepatoid adenocarcinoma |
| spellingShingle | Lakshmi Sandhya Singuluri Prasanth Ganesan Bheemanathi Hanuman Srinivas Biswajit Dubashi Yadav Nisha Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular Carcinoma Indian Journal of Medical and Paediatric Oncology hepatocellular carcinoma Pancoast tumor Pancoast syndrome metastasis hepatoid adenocarcinoma |
| title | Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular Carcinoma |
| title_full | Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular Carcinoma |
| title_fullStr | Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular Carcinoma |
| title_full_unstemmed | Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular Carcinoma |
| title_short | Case Report with a Review of Literature: Pancoast Syndrome—A Rare Presentation of Metastatic Hepatocellular Carcinoma |
| title_sort | case report with a review of literature pancoast syndrome a rare presentation of metastatic hepatocellular carcinoma |
| topic | hepatocellular carcinoma Pancoast tumor Pancoast syndrome metastasis hepatoid adenocarcinoma |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769492 |
| work_keys_str_mv | AT lakshmisandhyasinguluri casereportwithareviewofliteraturepancoastsyndromeararepresentationofmetastatichepatocellularcarcinoma AT prasanthganesan casereportwithareviewofliteraturepancoastsyndromeararepresentationofmetastatichepatocellularcarcinoma AT bheemanathihanumansrinivas casereportwithareviewofliteraturepancoastsyndromeararepresentationofmetastatichepatocellularcarcinoma AT biswajitdubashi casereportwithareviewofliteraturepancoastsyndromeararepresentationofmetastatichepatocellularcarcinoma AT yadavnisha casereportwithareviewofliteraturepancoastsyndromeararepresentationofmetastatichepatocellularcarcinoma |