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Moussa Issa
Midland Regional Hospital at Tullamore, UKTitle: A Nearly Missed Pancoast Tumour From Isolated Persistent Leg Pain
Abstract
Pancoast tumours (PTs) are apical tumours of the lung that
manifest with a variety of symptoms. Herein, we describe a rare case of a
56-year-old female with a one-month history of persistent left leg pain despite
advanced imaging, such as magnetic resonance imaging (MRI), and orthopaedic
input, which was focused onto her left knee being the prime cause of her pain.
Her non-resolving symptoms prompted her to attend the Emergency Department. A
careful clinical examination pointed towards the left proximal tibia being the
most probable cause. Basic radiographic imaging (x-ray) of the left tibia
revealed a lytic lesion which was later confirmed to be metastatic disease
arising from a Pancoast tumour (PT) following further advanced imaging and
diagnostics. This case highlights a unique presentation of a Pancoast tumour
that, to our knowledge, has never been reported before in the medical
literature. A high index of suspicion, careful examination, and investigation
were essential to reach this diagnosis.
Biography
TBA