Pancoast Tumor

This topic contains 6 replies, has 3 voices, and was last updated by JimC Forum Moderator JimC Forum Moderator 1 week, 6 days ago.

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April 5, 2017 at 7:31 am  #1290509    

sunnyahuja120690

my Name Is sunny.

My problem Is i Have right shoulder pain that radiate to bicep and wrist.

Smoked Hukah For 3 to 4 Years.

i went for HRCT Thorax..

Report Came Clear.

But Still I have Shoulder and arm pain..

so is HRCT Use full to detect Pancoast Tumor…

Or any other Test is Required..

Thanks.


sunny

April 5, 2017 at 7:32 am  #1290510    

sunnyahuja120690

Small Upadte my age is 28.


sunny

April 5, 2017 at 9:51 am  #1290511    
catdander forum moderator
catdander forum moderator

Hi Sunny,

Welcome to Grace. It’s true a CT especially a hi res CT would pick up a pancoast tumor. You’re probably looking for something less complicated. I have to admit we get a lot of people who have shoulder pain that radiates down the arm who are worried they have a pancoast tumor. I hope you also find that there are other much more common and probable reasons why this is happening. The odds are extremely small that a 28 year old with a small smoking history has lung cancer add to that the rarity of a pancoast tumor especially without a significant smoking history. A nerve that is pinched or damaged is tons more common than a pancoast tumor in a 50 year old with a smoking history. I hope you get this resolved hopefully through physical therapy.

All best,
Janine
forum moderator

April 5, 2017 at 10:08 am  #1290512    

sunnyahuja120690

Thanks Janine.

And i Appreciate Your quick response to my post..

well i got married just year ago…so i was worried…coz i dont wanna die so soon…

well as u said i’l definitely go for physio therapy…

and will definitely inform you once i get better…

Got some relief Thank you SO much…


sunny

September 10, 2017 at 5:57 am  #1291605    

sunnyahuja120690

Hi…and sorry for the trouble i am giving you.

i had HRCT in feb 17 came clear.

again i had chest x-ray yesterday…came clear,but showed bronchitis.

still i have pancoast symptom like, shoulder pain,fore arm pain,pinky and ring finger pain,upper back pain,collor bone pain.

so i am worried is pancoast missed on ct and chest x-ray.

plz help.


sunny

September 10, 2017 at 8:15 am  #1291606    
JimC Forum Moderator
JimC Forum Moderator

Hi sunny,

The type of shoulder/arm pain produced by a pancoast tumor is much more likely to be caused by other ailments. This is especially true for younger patients (certainly patients in their 20s and 30s) and persons without a significant smoking history. In a podcast, Dr. Vallieres describes the typical scenario reported by patients as “enormous pain around their shoulder and down their arm, sometimes some changes in their facial expression, who had, on x-ray, a tumor at the top of their lung.”http://cancergrace.org/lung/2015/09/11/gcvl_lu-e06_pancoast_tumor_history_treatment/ As with most cancer pain, it is unlikely to come and go or vary in intensity but more likely to be constant and increase in severity over time.

It’s important to note that a pancoast tumor usually shows up on a chest x-ray, and certainly on a chest CT. As Dr. West has said:

“I think a Pancoast tumor may be the most over-internet diagnosed problem in the cancer world — at least lung cancer. It is extremely common for people vanishingly unlikely to have a Pancoast tumor to scare themselves half to death by a Dr. Google diagnosis. It is overwhelmingly likely that you do NOT have a Pancoast tumor. And while a chest x-ray is a very old technology and CT is better, a chest x-ray would be sufficient to all but prove that it ISN’T a Pancoast tumor.”http://cancergrace.org/topic/very-scared-of-pancoast-tumor-please-any-advice#post-1272705

I will add that I’ve been active on GRACE for 8 years, and the type of question you post is not uncommon. In that time, I can’t think of a single case of a person who is unlikely to have a pancoast tumor and whose imaging has not revealed such a tumor but later has returned to the site to report that diagnosis. With that in mind, since you already have chest x-ray and CT reports which do not reveal a pancoast tumor, I would feel reassured and turn my attention to other possible (and less concerning) causes for your pain.

[continued]


Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

September 10, 2017 at 8:18 am  #1291607    
JimC Forum Moderator
JimC Forum Moderator

[continued]

I hope that you can find answers that will aid in resolving your symptoms. If you haven’t already, perhaps a consultation with an orthopedist would be in order.

JimC
Forum moderator


Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

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