中华医学杂志（英文版）2012，Vol.125Issue(15)：2755-2757,3.DOI:10.3760/cma.j.issn.0366-6999.2012.15.019
Differential diagnosis of cervical radiculopathy and superior pulmonary sulcus tumor
Differential diagnosis of cervical radiculopathy and superior pulmonary sulcus tumor
GU Rui 1KANG Ming-yang 1GAO Zhong-li 1ZHAO Jian-wu 1WANG Jin-cheng1
作者信息
- 1. Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, Jilin 130033, China
- 折叠
摘要
Abstract
Background The result would be disastrous if the superior pulmonary sulcus tumor (Pancoast tumor) was misdiagnosed as degenerative cervical spine diseases.The aim of this study was to investigate the differential diagnosis methods of cervical radiculopathy and superior pulmonary sulcus tumor.Methods Clinical manifestations,physical,and radiological findings of 10 patients,whose main complaints were radiating shoulder and arm pain and later were diagnosed with superior pulmonary sulcus tumor,were reviewed and compared with those of cervical radiculopathy.Results Superior pulmonary sulcus tumor patients have shorter mean history and fewer complaints of neck pain or limitation of neck movement.Physical examination showed almost normal cervical spine range of motion.Spurling's neck compression test was negative in all patients.Anteroposterior cervical radiographs showed the lack of pulmonary air at the top of the affected lung in all cases and first rib encroachment in one case.The diagnosis of superior pulmonary sulcus tumor can be further confirmed by CT and MRI.Conclusions By the method of combination of history,physical examination,and radiological findings,superior pulmonary sulcus tumor can be efficiently differentiated from cervical radiculopathy.Normal motion range of the cervical spine,negative Spurling's neck compression test,and the lack of pulmonary air at the top of the affected lung in anteroposterior cervical radiographs should be considerad as indications for further chest radiograph examinations.关键词
superior pulmonary sulcus tumor/cervical radiculopathy/physical examination/anteroposterior cervical radiograph/differential diagnosisKey words
superior pulmonary sulcus tumor/cervical radiculopathy/physical examination/anteroposterior cervical radiograph/differential diagnosis引用本文复制引用
GU Rui,KANG Ming-yang,GAO Zhong-li,ZHAO Jian-wu,WANG Jin-cheng..Differential diagnosis of cervical radiculopathy and superior pulmonary sulcus tumor[J].中华医学杂志（英文版）,2012,125(15):2755-2757,3.
