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Images in Thorax
Primary Ewing's sarcoma presenting as a Pancoast tumour
  1. Lowie Vanfleteren1,
  2. Rogier van Stiphout2,
  3. Robert G Riedl3,
  4. Rob Jansen4,
  5. Dirk De Ruysscher5,6,
  6. Anne-Marie C Dingemans1,6
  1. 1Department of Respiratory Medicine,Maastricht University Medical Center, Maastricht, The Netherlands
  2. 2Department of Radiology, Maastricht University Medical Center, Maastricht, The Netherlands
  3. 3Department of Pathology, Maastricht University Medical Center, Maastricht, The Netherlands
  4. 4Department of Internal Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
  5. 5Department of Radiotherapy, MAASTRO Clinic, Maastricht University Medical Center, Maastricht, The Netherlands
  6. 6GROW – School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands
  1. Correspondence to Lowie Vanfleteren, Department of Respiratory Medicine, Maastricht University Medical Center, Postbus 5800, 6202 AZ Maastricht, The Netherlands; lowievanfleteren{at}gmail.com

https://doi.org/10.1136/thx.2010.140004

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    Case report

    A 48-year-old woman without a significant medical history was referred to our department after the neurologist established Pancoast's syndrome and a well-demarcated homogenous mass in the apex of the right hemithorax on MRI study of the brachial plexus. The tumour was invading the thoracic wall, adjacent musculature and the right plexus brachialis and extended into the neuroforamen of C7–T1 (figure 1B,D). She had no respiratory complaints. She had …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.