Mesothelioma CT: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(7 intermediate revisions by 3 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Mesothelioma}}
{{Mesothelioma}}
{{CMG}}{{AE}}{{PSD}}
{{CMG}}{{AE}}{{PSD}}, {{SR}}
 
==Overview==
==Overview==
Chest CT scan may be diagnostic of mesothelioma. CT is the most commonly used modality for the assessment of mesothelioma and is able to stage the disease accurately in most patients.<ref name=MRimesothelioma1>Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
[[Chest]] [[CT scan]] may be [[diagnostic]] of [[mesothelioma]]. [[CT]] is the most commonly used modality for the assessment of [[mesothelioma]] and is able to stage the [[disease]] accurately in majority of the [[patients]].<ref name="MRimesothelioma1">Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
 
==CT==
*[[Chest]] [[CT scan]] is the most commonly used modality for the assessment of [[mesothelioma]] and is able to stage the [[disease]] accurately in majority of the patients.<ref name="MRimesothelioma1">Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
*The appearance is that of a [[soft tissue]] attenuation nodular [[mass]] which spreads along [[Pleural|pleural surfaces]] including into [[pleural]] [[fissures]] and often creating a [[pleural]] rind.
*[[Calcification]] is seen in 20% of cases which usually represents engulfed calcified [[pleural]] [[plaques]] rather than true [[tumor]] [[calcification]].
*Sarcomatoid variants may demonstrate [[osteosarcoma]] or [[chondrosarcoma|chondrosarcomatous components]] which may also be [[Calcified lesion|calcified]].
*An rare variant is the [[solitary]] [[mediastinal]] [[malignant]] [[mesothelioma]] which has appearance of a [[solitary fibrous tumor of the pleura]].<ref name="MRimesothelioma1">Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
*[[Mesothelioma]] may be associated with direct [[invasion]] of adjacent structures ([[chest wall]], [[diaphragm]], and [[mediastinal]] content) but also frequently [[metastasis]] to the [[contralateral]] [[lung]] and [[Lymph nodes|local nodes]].
*[[Chest wall]] [[invasion]] is suggested by direct [[extension]] in [[bone]] or [[muscle]] identified on CT scan.
*Presence of a [[pericardial effusion]] suggests transpericardial [[extension]].<ref name="MRimesothelioma1">Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
 
==Gallery==
<gallery>
Image:Ct image mesothelioma image 1.jpg|<sub>CT scan of chest demonstrating a circumferential nodular soft tissue encasement of the left lung. There is volume loss with elevation of the hemidiaphragm and shift of the mediastinum. A number of enlarged mediastinal nodes are noted.<ref name=ctimage1>Image courtesy of Dr. A.Prof Frank Gaillard. Radiopaedia (original file [http://radiopaedia.org/cases/mesothelioma-1 here]). Creative Commons BY-SA-NC</ref>
 
</gallery>


==CT Scan==
*Chest CT scan is the most commonly used modality for the assessment of mesothelioma and is able to stage the disease accurately in most patients.<ref name=MRimesothelioma1>Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
*The appearance is that of a soft tissue attenuation nodular mass which spreads along pleural surfaces including into pleural fissures and often creating a pleural rind.
*Calcification is seen in 20% of cases which usually represents engulfed calcified pleural plaques rather than true tumour calcification.
*Sarcomatoid variants may demonstrate osteosarcoma or chondrosarcomatous components which may also be calcified.
*An uncommon variant is the solitary mediastinal malignant mesothelioma which has appearances reminiscent of a solitary fibrous tumour of the pleura.<ref name=MRimesothelioma1>Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
*Mesotheliomas have a predilection for direct invasion of adjacent structures (chest wall, diaphragm and mediastinal content) but also frequently metastasise to the contralateral lung and local nodes.
*To confidently predict chest wall invasion the extrapleural fat plane should be seen to be infiltrated and/or direct extension in bone or muscle identified.<ref name=MRimesothelioma1>Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015</ref>
*Presence of a pericardial effusion suggests transpericardial extension.


==References==
==References==
Line 21: Line 29:
[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Oncology]]


{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]

Latest revision as of 20:53, 10 March 2018

Mesothelioma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Mesothelioma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Ultrasound

Other Diagnostic Studies

Other Imaging Findings

Treatment

Medical Therapy

Surgery

Summary of Treatment for Pleural Mesothelioma

Summary of Treatment for Peritoneal Mesothelioma

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Mesothelioma CT On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Mesothelioma CT

All Images
X-rays
Echo and Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Mesothelioma CT

CDC on Mesothelioma CT

Mesothelioma CT in the news

Blogs on Mesothelioma CT

Directions to Hospitals Treating Mesothelioma

Risk calculators and risk factors for Mesothelioma CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2], Sujit Routray, M.D. [3]

Overview

Chest CT scan may be diagnostic of mesothelioma. CT is the most commonly used modality for the assessment of mesothelioma and is able to stage the disease accurately in majority of the patients.[1]

CT

Gallery


References

  1. 1.0 1.1 1.2 1.3 Radiographic findings of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 8, 2015
  2. Image courtesy of Dr. A.Prof Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC


Template:WikiDoc Sources