CASE 224: LEFT SUPRACLAVICULAR MASS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 41 yo, cough  and  pain at left arm; chest  x-rays suspected lung tuberculosis, then he had been treated as antituberculosis  for 3 months. 

But the pain was getting worse and  one mass appeared at  left supraclavicular  fossa.

X-rays  again  showed this  first rib in erosion on the left site.

Ultrasound scanning at left supraclavicular fossa and disclosed a solid  mass in calcification

 and fluid collection on the right site.

MSCT with  CE  of the lungs detected the mass destructing the first rib. 

Biopsy was done.  

Biopsy  microscopy report  is   adenocarcinoma , it is PANCOAST TOBIAS  SYNDROME.

Ref  PANCOAT -TOBIAS SYNDROME:

History photo of  Dr  PANCOAST K Henry.