What is the most likely diagnosis?

A 65-year-old man presents with significant weight loss and complains of cough, SOB and chest pain. Exam constricted, drooping of left eyelid.

What is the most likely diagnosis?
A . Thoracic outlet syndrome
B . Cervical rib
C . Bronchogenic carcinoma
D . Pancoast tumor
E . Pneumonia

View Answer

Answer: D

Explanation:

Pancoast tumor. Pancoast tumour is the apical lung cancer that is associated with destructive lesion thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves (the stellate ganglion) le horner’s syndrome.