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What are the symptoms of a superior sulcus lung lesion?

1) Ptosis, miosis, and anhidrosis
2) Cough and shortness of breath
3) Chest pain and fatigue
4) Fever and chills

1 Answer

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Final answer:

A superior sulcus lung lesion, or Pancoast tumor, typically presents symptoms of Ptosis, miosis, and anhidrosis, known as Horner's syndrome, alongside cough, shortness of breath, and pain affecting the shoulder, arm, and hand due to its location near the sympathetic nerve ganglion and brachial plexus.

Step-by-step explanation:

Symptoms of a Superior Sulcus Lung Lesion

The symptoms of a superior sulcus lung lesion, which is also known as a Pancoast tumor, often include several distinct features due to the tumor’s unique position at the top of the lung near the sympathetic nerve ganglion. The most characteristic symptoms include Ptosis (drooping of one eyelid), miosis (constricted pupil), and anhidrosis (lack of sweating) on one side of the face; this set of symptoms is part of Horner's syndrome. Additionally, patients may experience symptoms due to involvement of other nearby structures, which can include shoulder pain, arm pain, and weakness or numbness of the hand, reflecting the tumor's impact on the brachial plexus. Other potential symptoms related to respiratory issue may include cough, shortness of breath, wheezing or stridor, and can also present with hoarseness, pain with swallowing, and a persistent cough that may sometimes bring up blood (hemoptysis).

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