Pancoast Tumor Chest X-ray and Chest CT

http://info.med.yale.edu/surgery/anatomy/radiology/pancoast_tumor_content.php

SLIDE 1
Goals
- Locate a tumor by applying the surface anatomy (that you’ve learned)
- Use CT to investigate a radio-opacity (high attenuation signal) that appears on the:
- anterior chest wall
- posterior chest wall and lung
- Relate the tumor and normal anatomical features to the sympathetic chain
- learn relations in the hilum of the lung

SLIDE 2
- Pancoast tumor in cross section
- [...]
Question 1
- arch of the aorta (aortic knob)
- border of right atrium
- border of left ventricle
- 2nd rib (angle of louis)
- clavicle (sternal notch)
- hilum of left lung

Question 2a
[...]
- chamberlain procedure (medial thorocostomy)
- 3rd rib
- arch of the aorta (aortic knob)
- trachea
- hilum
- heart
- angle of louis

Question 2b
- Using bilateral symmetry, try to find two radio-opacities (regions that are whiter than the mirror image region on the opposite side of the midline). DO NOT INCLUDE THE HEART.
[...]
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SLIDE 3
- Pancoast tumor in cross section
[...]

LOTS MORE QUESTIONS AND EXERCISES!

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Pancoast Tumors

Anterior Access for radical resection of Pancoast tumors