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Pancoast tumour — SCE Respiratory MCQ

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HardLung CancerPancoast tumourSCE Respiratory

A 63-year-old man presents with weight loss, shoulder pain radiating down the medial arm, ptosis and miosis. Chest radiograph shows right apical opacity with first-rib erosion. What is the most likely diagnosis?

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Correct answer: E — Pancoast tumour

Apical lung mass with C8-T1 pain and Horner syndrome is a Pancoast tumour. PE and pneumothorax cause acute pleuritic symptoms rather than progressive neurological and sympathetic signs. Pneumonia would not usually cause rib erosion and Horner syndrome.

Reference: NICE NG122 Lung Cancer