BMJ Case Reports 2012; doi:10.1136/bcr-2012-006285
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Pancoast tumour

  1. Bhathiya Wijeyekoon
  1. Department of Rheumatology, East and North Hertfordshire NHS Trust, Stevenage, UK
  1. Correspondence to Dr Bhathiya Wijeyekoon, j.wijeyekoon{at}


A 61-year-old man was referred to our rheumatology unit with a 3-month history of worsening left-sided neck and shoulder pain. His general practitioner (GP) suspected Giant cell arteritis and a temporal artery biopsy was performed which was negative. Shoulder and neck x-rays were also normal. He had a 40-pack-year smoking history and a chest radiograph was organised by his GP. On questioning, he admitted to significant weight loss and hoarseness of voice. …

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