title: Pitfalls and delay in the diagnosis of Pancoast tumour presenting in orthopaedic units.
abstract: Pancoast tumours present a difficult and peculiar problem. Their clinical manifestations may be extrapulmonary. The underlying lesion may be missed in patients presenting with predominantly orthopaedic symptoms. We present four consecutive cases, which were referred to our clinic and the diagnosis was made with mean delay of 18.5 months from the beginning of symptoms.
authors.affiliation: Department of Orthopaedic Surgery, Weston General Hospital, Weston Super-Mare, Somerset, UK.
authors.forename: I
authors.initials: I
authors.lastname: Bisbinas
authors.forename: V G
authors.initials: VG
authors.lastname: Langkamer
mesh_terms: D000368:Aged; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000209:etiology; D010178:Pancoast Syndrome / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D013128:Spinal Osteophytosis / Q000209:etiology