Do We �nspecting The Patient Face Who Has Shoulder Pain?

ISSN : 1300-0012 E-ISSN 2458-9446

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Volume: 30 Issue: 4 Year: 2018

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Do We �nspecting The Patient Face Who Has Shoulder Pain? [A�r�]

A�r�. Ahead of Print: AGRI-14892 | DOI: 10.5505/agri.2018.14892

Do We �nspecting The Patient Face Who Has Shoulder Pain?

Y�ksel Erkin¹, Zeynep Iss�²
¹Dokuz Eyl�l Un�vers�ty Faculty Of Med�c�ne, Department Of Anesthes�ology And Rean�mat�on,department Of Algology. �zmir, Turkey
²Dokuz Eyl�l University Faculty Of Medicine, Department Of Neurology, Department Of Algology. �zmir, Turkey

Pancoast tumor or superior sulcus tumor is a rare bronchogenic carcinoma. In the early period, shoulder pain was the most common symptom. In our patient, due to complaints of shoulder and arm pain, he was examined primarily for musculoskeletal causes and radiculopathy in the other outpatient clinics and Horner's syndrome on her face was not noticed. At the same time, the patient was not complaining his Horner because the pain was on the front. Because of the inclusion of the anhidrosis of the face and neck region, advanced imaging of the patient with preganglionic horner syndrome is desired.
Less than 50% of patients with pancoast tumor have resectable lesions at the first diagnosis. Musculoskeletal disorders are considered primarily in these patients who have little and background complaints about lung related, and diagnosis is delayed or misdiagnosed. For this reason, the importance of detailed examination and anamnesis is great in patients with arm and shoulder pain.

Keywords: Pancoast, Horner�s Syndrome, shoulder pain, lung cancer

Omuz A�r�s� Olan Hastan�n Y�z�n� de Muayene Ediyormuyuz?

Y�ksel Erkin¹, Zeynep Iss�²
¹Dokuz Eyl�l �niversitesi T�p Fak�ltesi, Anesteziyoloji Ve Reanimasyon Anabilim Dal�, Algoloji Bilim Dal�. �zmir, T�rkiye
²Dokuz Eyl�l �niversitesi T�p Fak�ltesi, N�roloji Anabilim Dal�, Algoloji Bilim Dal�. �zmir, T�rkiye

Pancoast t�m�r� ya da superior sulkus t�m�r�, nadir g�r�len bronkojenik karsinomlardand�r. Erken d�nemde omuz a�r�s� en s�k semptomdur Bizim hastam�zda omuz ve kol a�r�s� �ikayetiyle gelmesi nedeniyle di�er ba�vurdu�u polikliniklerde �ncelikle muskuloskeletal nedenler ve radik�lopati a��s�ndan tetkik edilmi� ve y�z�ndeki horner sendromu dikkat �ekmemi�ti. Ayn� zamanda hasta da, a�r�s� �n planda olmas� nedeniyle, bu durumdan �ikayet�i de�ildi. Anhidrozisin y�z� ve boyun b�lgesini kapsamas� nedeniyle preganglionik horner sendromu d��n�len hastadan ileri g�r�nt�leme istenildi.
Pancoast t�m�r� olan hastalar�n %50�sinden az� ilk tan�da rezektabl lezyonlara sahip olurlar. Akci�ere y�nelik �ikayetleri daha az ve geri planda olan bu hastalarda muskuloskeletal hastal�klar �ncelikle d��n�l�r ve tan� koyulmas� gecikir ya da yanl�� tan� al�rlar. Bu nedenle kol ve omuz a�r�s� ile gelen hastalarda ayr�nt�l� muayene ve anamnezin �nemi b�y�kt�r.

Anahtar Kelimeler: Pancoast, Horner Sendromu, omuz a�r�s�, akci�er kanseri

Corresponding Author: Zeynep Iss�, T�rkiye

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