All are been in Pancoast syndrome except
Brachial plexus involvement
Dyspnoea
Clubbing
Myasthenia gravis
Pancoast tumour invades brachial plexus,sympathetic chain,upper ribs,and veebrae.Dyspnoea can occur due to loss of functioning lung tissue/the development of a large pleural effusion.Clubbing and hyperophic pulmonary osteoahropathy can also occur. Bailey & Love's sho practise of surgery,25 th edition,page no:885
Cardio thoracic surgery  