Pancoast's Syndrome

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Abstract
As Arcasoy and Jett (Nov. 6 issue)1 suggest in their excellent review of Pancoast's syndrome, patients may present with supraclavicular lymph-node enlargement. The authors did not mention one shortcut to the diagnosis of this type of tumor. Fine-needle aspiration biopsy of enlarged supraclavicular lymph nodes or an ipsilateral supraclavicular fullness is a rapid, safe, and inexpensive means of diagnosis. When supraclavicular adenopathy is present, this approach can eliminate the need for more expensive and more invasive procedures.