Pancoast tumor physical examination

Common physical examination findings of Pancoast tumor include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea. On physical examination, Pancoast tumor may present with features of lethargy, emaciation, confusion, low-grade fever, decreased sPO₂, tachypnea, tachycardia, low blood pressure, decreased/absent breath sounds, bone pain, fractures (usually in the vertebrae, femur, pelvic bones, and the ribs), pallor, decreased sweating on ipsilateral side of the face, ptosis, miosis, anhydrosis, supraclavicular lymphadenopathy, cranial nerve palsies, tingling and pain along the distribution of ulnar nerve, clubbing of fingers, weakness of arms and hands, hemiplegia, paraplegia, shoulder pain, edematous swelling of the ipsilateral arm.

Pancoast tumor is a subtype of lung cancer localized to the apical portion of the lung. Common physical examination findings of Pancoast tumor include decreased/absent breath sounds, pallor, low-grade fever, and tachypnea. On Physical examination pancoast tumor may present with the features including: ^{[1][2][3][4][5][6][7]}

Patients with Pancoast tumor generally appear lethargic, emaciated, and confused.

• Vital signs are generally within normal limit, but patients with severe disease may present the following vital signs:

• Low-grade fever
• Decreased sPO₂
• Tachypnea
• Tachycardia
• Low blood pressure

• Decreased/absent breath sounds

• Bone pain
• Fractures (usually in the vertebrae, femur, pelvic bones, and the ribs)

• Pallor
• Decreased sweating on ipsilateral side of the face

• Ptosis
• Miosis
• Anhydrosis
• Supraclavicular Lymphadenopathy

• Cranial nerve palsies
• Tingling and pain along the distribution of ulnar nerve

• Clubbing of fingers
• Weakness of arms and hands
• Hemiplegia
• Paraplegia
• Shoulder pain
• Edematous swelling of the ipsilateral arm

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