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 Table of Contents  
CLINICAL IMAGE
Year : 2022  |  Volume : 36  |  Issue : 2  |  Page : 95-96

Radiofrequency to the rescue in a case of pancoast tumor


Departments of Anaesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Date of Web Publication25-Aug-2022

Correspondence Address:
Dr. Prateek Arora
Departments of Anaesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_74_22

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How to cite this article:
Arora P, Bharadwaj A. Radiofrequency to the rescue in a case of pancoast tumor. Indian J Pain 2022;36:95-6

How to cite this URL:
Arora P, Bharadwaj A. Radiofrequency to the rescue in a case of pancoast tumor. Indian J Pain [serial online] 2022 [cited 2022 Sep 30];36:95-6. Available from: https://www.indianjpain.org/text.asp?2022/36/2/95/354723



A 44-year-old female patient, with pancoast tumor of the right lung with Horner's syndrome, presented with complaints of severe pain and burning sensation over the right upper limb and anterior chest wall Numerical Rating Scale (NRS) = 9/10 and self-reported Leeds Assessment of Neuropathic Symptoms and Signs pain scale (S-LANS) >12. She reported the presence of allodynia. [Figure 1]a demonstrates magnetic resonance imaging of the soft tissue neck and thorax showing mass over the left lung apex, pushing through the thoracic inlet into the root of neck, causing compression over the divisions of the right brachial plexus. [Figure 1]b shows the clinical photograph showing anisocoria and difference in palpebral aperture. [Figure 1]c presents the ultrasonographic (USG) image of conventional radiofrequency ablation of the right stellate ganglion. [Figure 1]d shows the USG image of hydrodissection of the brachial plexus around the growth, followed by pulsed radiofrequency. The success of stellate ganglion was confirmed with serial rise of perfusion index in the upper limb and relief of patient's symptoms.
Figure 1: (a) Magnetic resonance imaging of soft tissue neck and thorax showing mass over the left lung apex, pushing through the thoracic inlet into the root of neck, causing compression over the divisions of the right brachial plexus. (b) Clinical photograph showing anisocoria and difference in the width of the palpebral aperture. (c) Ultrasonographic image of conventional radiofrequency ablation of the right stellate ganglion. (d) Ultrasonographic image of hydrodissection of the brachial plexus around the growth, followed by pulsed radiofrequency

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




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