title: Extrapulmonary lymphomatoid granulomatosis presenting as Pancoast's syndrome.
abstract: We report the case of a 55 year old man who presented as Pancoast's syndrome associated with a left sided Horner's syndrome, a mass in the left supraclavicular fossa and marked weakness with wasting of the left arm consistent with a left sided brachial plexus lesion. Biopsy revealed the typical features of lymphomatoid granulomatosis. Neurological involvement is a rare presenting manifestation of this uncommon disease. Lymphomatoid granulomatosis should be considered as a rare but potentially treatable cause of Pancoast's syndrome.
authors.affiliation: Department of Haematology, Northern General Hospital, Sheffield, UK.
authors.forename: G
authors.initials: G
authors.lastname: Dolan
authors.forename: J
authors.initials: J
authors.lastname: Smith
authors.forename: J T
authors.initials: JT
authors.lastname: Reilly
mesh_terms: D001917:Brachial Plexus; D006732:Horner Syndrome / Q000150:complications; D006801:Humans; D008230:Lymphomatoid Granulomatosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010178:Pancoast Syndrome / Q000209:etiology*; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D013899:Thoracic Neoplasms / Q000150:complications*