Adenocarcinoma of the lung X ray: Difference between revisions

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{{Adenocarcinoma of the lung}}
{{Adenocarcinoma of the lung}}
{{CMG}}; {{AE}} {{SC}}
{{CMG}}; {{AE}} {{SC}} {{Cherry}}
==Overview==
==Overview==
Chest x-ray may be helpful in the diagnosis of adenocarcinoma of the lung. Findings on x-ray suggestive of adenocarcinoma of the [[lung]] include [[mass]], [[pleural effusion]], widening of the [[mediastinum]], [[Consolidation (medicine)|consolidation]] and [[atelectasis]].


==X Ray==
==X Ray==
Performing a [[chest x-ray]] is the first step if a patient reports symptoms that may be suggestive of lung cancer. Often lung cancers are picked up on a routine chest X-ray in a person experiencing no symptoms.
* Chest x-ray is the first step in the work up of a patient with symptoms suggestive of lung cancer. Often, lung cancers may be picked up on a routine chest X-ray in an asymptomatic [[patient]].<ref name="pmid25969634">{{cite journal |vauthors=Purandare NC, Rangarajan V |title=Imaging of lung cancer: Implications on staging and management |journal=Indian J Radiol Imaging |volume=25 |issue=2 |pages=109–20 |date=2015 |pmid=25969634 |pmc=4419420 |doi=10.4103/0971-3026.155831 |url=}}</ref>
This may reveal an obvious mass, widening of the [[mediastinum]] (suggestive of spread to [[lymph node]]s there), [[atelectasis]] (collapse), consolidation ([[pneumonia]]), or [[pleural effusion]].
* X-ray in case of adenocarcinoma of the [[lung]] may reveal:
 
** A lung [[mass]]
If there are no x-ray findings but the suspicion is high (such as a heavy smoker with blood-stained sputum), [[bronchoscopy]] and/or a [[CT scan]] may provide the necessary information. Bronchoscopy or CT-guided [[biopsy]] is often used to identify the tumor type.
** [[Consolidation (medicine)|Consolidation]]
 
** Widening of the [[mediastinum]] (suggestive of [[lymph node]] spread)
The [[differential diagnosis]] for patients who present with abnormalities on chest x-ray includes lung cancer, as well as nonmalignant diseases. These include infectious causes such as [[tuberculosis]] or pneumonia, or inflammatory conditions such as [[sarcoidosis]]. These diseases can result in [[mediastinum|mediastinal]] [[lymphadenopathy]] or lung [[nodule (medicine)|nodules]], and sometimes mimic lung cancers.
** [[Pleural effusion]]
 
[[File:Adenocarcinoma-of-the-lung-6.jpg|500px|none|thumb|lung adenocarcinoma.Case courtesy of Dr Hani Salam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/42446">rID: 42446</a>]]


==References==
==References==

Latest revision as of 14:55, 23 October 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2] Sudarshana Datta, MD [3]

Overview

Chest x-ray may be helpful in the diagnosis of adenocarcinoma of the lung. Findings on x-ray suggestive of adenocarcinoma of the lung include mass, pleural effusion, widening of the mediastinum, consolidation and atelectasis.

X Ray

  • Chest x-ray is the first step in the work up of a patient with symptoms suggestive of lung cancer. Often, lung cancers may be picked up on a routine chest X-ray in an asymptomatic patient.[1]
  • X-ray in case of adenocarcinoma of the lung may reveal:
lung adenocarcinoma.Case courtesy of Dr Hani Salam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/42446">rID: 42446</a>

References

  1. Purandare NC, Rangarajan V (2015). "Imaging of lung cancer: Implications on staging and management". Indian J Radiol Imaging. 25 (2): 109–20. doi:10.4103/0971-3026.155831. PMC 4419420. PMID 25969634.


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