Options for Pancoast tumor pain

One of the local family docs called me - his 100 year old patient was having arm pain and Horner's syndrome, and lo and behold we found a huge Pancoast tumor invading into brachial plexus, with bony mets in the cervical spine as well. He's sending her to hospice, but wants to know if I have any palliative procedures I can do first. Would any of you try a neurolysis? Anatomy seems too messy to try a brachial plexus catheter. Any other ideas? Should I just let hospice do what they can with... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums