Extrapulmonary lymphomatoid granulomatosis presenting as Pancoast's syndrome.
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.
Dolan
G
G
Department of Haematology, Northern General Hospital, Sheffield, UK.
Smith
J
J
Reilly
J T
JT
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*