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Extrapulmonary lymphomatoid granulomatosis presenting as Pancoast's syndrome.
  1. G. Dolan,
  2. J. Smith,
  3. J. T. Reilly
  1. Department of Haematology, Northern General Hospital, Sheffield, UK.


    We report the case of a 55 year old man who presented as Pancoast's syndrome associated with a left sided Horner's syndrome, a mass in the left supraclavicular fossa and marked weakness with wasting of the left arm consistent with a left sided brachial plexus lesion. Biopsy revealed the typical features of lymphomatoid granulomatosis. Neurological involvement is a rare presenting manifestation of this uncommon disease. Lymphomatoid granulomatosis should be considered as a rare but potentially treatable cause of Pancoast's syndrome.

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