Tuberculosis presenting as Pancoast tumor.
A 48-year-old man presented with pain in his left shoulder radiating to the left scapula and a tingling sensation of the left arm with involvement of the fourth and fifth finger. Based on the clinical and radiologic findings, the diagnosis of Pancoast tumor of the left lung was made. Computed tomographic guided fine needle biopsy was not conclusive. A video-assisted thoracoscopic surgery was performed to obtain a biopsy. The histologic and microbiologic examinations established the diagnosis of tuberculosis (TB).
Beshay
Morris
M
Division of General Thoracic Surgery, University Hospital Berne, Berne, Switzerland.
Roth
Thierry
T
Stein
Robert M
RM
Schmid
Ralph A
RA
D000995:Antitubercular Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D010178:Pancoast Syndrome / Q000175:diagnosis*; D013902:Radiography, Thoracic; D018570:Risk Assessment; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis*
D000995:Antitubercular Agents