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An unusual but classic cause of hand numbness: Pancoast tumour
  1. Elena Thampy1,
  2. Sujith V Cherian2
  1. 1Department of Internal Medicine, University of Texas Health Science Center at Houston-McGovern Medical School, Houston, TX, USA
  2. 2Department of Pulmonary, Critical Care and Sleep Medicine, University of Texas Health Science Center at Houston-McGovern Medical School, Houston, TX, USA
  1. Correspondence to Dr Sujith V Cherian, Department of Pulmonary, Critical Care and Sleep Medicine, University of Texas Health Science Center at Houston -McGovern Medical School, Houston, TX 77030, USA; sujithvcherian{at}gmail.com

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A 56-year-old man with a 42-pack year smoking history presented with complaints of acute-onset left shoulder pain, weakness and numbness of the left hand. A chest X-ray examination revealed a large apical opacity with complete destruction of first, second and third left ribs (figure 1), which was then confirmed with a chest CT scan (figure 2), which showed a large apical 9 cm heterogeneous …

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