A centrally located tumor would produce which of the following symptoms?
A. Shoulder pain
B. Pleuritic pain
C. Coughing
D. Hemoptysis
Correct Answer: C. Coughing
Option C: Centrally located pulmonary tumors are found in the upper airway (vocal cords) and usually obstruct airflow, producing such symptoms as coughing, wheezing, and stridor.
Option A: Pancoast tumors that occur in the apices may cause shoulder pain.
Option B: As the tumor invades the pleural space, it may cause pleuritic pain.
Option D: Small cell tumors tend to be located in the lower airways and often cause hemoptysis.