Mesothelioma CT: Difference between revisions

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==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 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>
[[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==
==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>
*[[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 surfaces including into pleural fissures and often creating a pleural rind.
*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]].  
*[[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.
*Sarcomatoid variants may demonstrate [[osteosarcoma]] or [[chondrosarcoma|chondrosarcomatous components]] which may also be [[Calcified lesion|calcified]].
*An uncommon variant is the solitary mediastinal malignant mesothelioma which has appearances reminiscent 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>
*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 has 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.
*[[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]].
*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.
*[[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>
*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==

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

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Mesothelioma CT On the Web

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American Roentgen Ray Society Images of Mesothelioma CT

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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


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