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Jpn. J. Clin. Oncol. · Mar 2001
Case ReportsHepatocellular carcinoma with Pancoast's syndrome as an initial symptom: a case report.
- C F Chang, W J Su, T Y Chou, and R P Perng.
- Department of Internal Medicine, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taiwan.
- Jpn. J. Clin. Oncol. 2001 Mar 1; 31 (3): 119-21.
AbstractPancoast's syndrome refers to a condition consisting of Horner's syndrome and arm pain that is most commonly found in patients with a lung tumor of the superior sulcus invading the upper ribs or spine, lower brachial plexus and sympathetic chain. We report a 76-year-old female who had a thoracic inlet mass that presented as Pancoast's syndrome, showing profound pain, numbness and weakness of the left upper limb. Further evaluation revealed an increased level of serum alpha-fetoprotein (24278 ng/ml), cryptogenic liver cirrhosis and primary hepatocellular carcinoma with protruding T3 vertebra metastasis that resulted in Pancoast's syndrome. To our knowledge, it is a rare case and only one case has been reported previously.
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