Computed tomographic evaluation of the adrenal gland in the preoperative assessment of bronchogenic carcinoma.

Sandler, M A; Pearlberg, J L; Madrazo, Beatrice L.; Gitschlag, K F; Gross, Steven

doi:10.1148/radiology.145.3.7146405

Cited by 88 publications

(16 citation statements)

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“…Lung metastasis was also seen in two patients bilaterally out of 30 patients in our study. Our study findings were similar to that of Shetty CM et al, Marvin EN et al and Sandler MA et al 7,15,16 In our study 28 (93%) patients presented with lymph nodal enlargement whereas 2 (6.6%) patients did not present with any lymphadenopathy. The common lymph nodal stations involved in our study were pretracheal, prevascular lymph nodes seen in 28 (93%) patients out of 30 patients.…”

supporting

confidence: 92%

Role of multidetector computed tomography in evaluation of suspected bronchogenic carcinoma

Yadav¹,

Yadav

Goyal³

et al. 2016

Int J Res Med Sci

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INTRODUCTIONBronchogenic carcinoma was considered to be rare in the beginning of the century but has now reached epidemic proportions. This dramatic increase correlates with the widespread prevalence of cigarette smoking.1 Lung cancer is the leading cause of cancer mortality for both men and women, responsible for more deaths than prostate, breast, and colorectal cancers combined.2 Physical symptoms such as fever, cough, expectoration, haemoptysis, weight loss and anorexia are common to lung cancer. However, age of the patient, smoking history, mediastinal symptoms such as hoarseness of voice, SVC obstruction and dysphagia favours the diagnosis of lung cancer. On examination, there may be signs of collapse or mass, clubbing and metastatic and non-metastatic complications of lung cancer. 1 WHO classified bronchogenic carcinoma into four major cell types which makes up 88% of all primary lung neoplasm. These are squamous or epidermoid carcinoma, ABSTRACT Background: Bronchogenic carcinoma is the leading cause of cancer deaths in developed countries and is rising at alarming rates in developing countries. Deaths due to lung cancer are more than those due to colorectal, breast and prostate cancers put together. CT remains the routine imaging procedure for determining resectability and assessing intra-and extra thoracic spread of lung cancer. Methods: 30 patients with strong clinical / radiological suspicious of bronchogenic carcinoma were included in this study. MDCT was carried out and its provisional diagnosis of bronchogenic carcinoma was correlated with pathological diagnosis obtained on bronchoscopic biopsy / CT guided FNAC. Results: Patient's age ranged between 45 to 80 years with the mean age of 59 years. There was significant male preponderance (26 males) with smoking being the most common risk factor (83.3%). Cough (83.3%) and dyspnea (80%) were the commonest symptoms. The most common radiological manifestation was central hilar mass seen in 20 (66.6%) patients and peripheral mass seen in 10 (33.3%) patients. Provisional CT diagnosis was found in complete correlation with pathological diagnosis made on bronchoscopy biopsy/ CT guided FNAC in 28 (93.3%) patients and others 2 patients diagnosed as pulmonary tuberculosis, non caseating granulomatous inflammation on histopathological diagnosis. Squamous cell carcinoma was the commonest histopathological type seen in 16 (53.3%) patients followed by adenocarcinoma seen in 8 (26.6%) patients. Conclusions: Multidetector computed tomography plays an important role in evaluating and staging of bronchogenic carcinoma.CT had the high predictive value in evaluating bronchogenic carcinoma and found to be 93.3%.

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supporting

confidence: 92%

Role of multidetector computed tomography in evaluation of suspected bronchogenic carcinoma

Yadav¹,

Yadav

Goyal³

et al. 2016

Int J Res Med Sci

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“…Obviously, the chest must be scanned for complete evaluation of the primary lung tumor and for assessment of hilar and mediastinal lymph node involvement and thoracic metastases. Inclusion of the adrenal glands has been advocated since early in the chest CT era [4], and adrenal CT is recommended by lung cancer staging guidelines [5]. The yield from routine inclusion of the adrenal glands is less clear, as is the extent of extrathoracic scanning beyond the adrenals necessary for accurate staging.…”

Section: Discussionmentioning

confidence: 99%

“…Even within our own institution, inclusion of structures in the neck, abdomen, and pelvis differs from patient to patient. Our routine lung cancer CT protocol calls for contrastenhanced scans from the lung apices through the caudal aspects of the adrenal glands [4,5], which allows evaluation of lungs, thoracic lymph nodes, adrenal glands, and most of the liver. Depending on the stage of a neoplasm and the presence or absence of symptoms, additional imaging of the brain and bones may also be necessary.…”

Section: Introductionmentioning

confidence: 99%

Optimal anatomic coverage for CT in staging lung cancer: Lessons from PET-CT correlation

Gross¹,

Brown²,

Kalemkerian³

2011

Lung Cancer

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“…In accordance with these authors, the silent metastasis rate is not as low as it was originally thought. In many studies the reported incidence of silent metastases varies from 2.7 to 26.6% in the brain [13,[38][39][40][41], 1.7-17.8% in the adrenal glands [42,43], and up to 30.3% in the bone [16,17,30]. The incidence of liver metastases is 9.3% for asymptomatic patients and 25% for symptomatic patients [13].…”

Section: Discussionmentioning

confidence: 99%

Detecting extrathoracic metastases in patients with non-small cell lung cancer: Is routine scanning necessary?

Metintaş

Akcayir

et al. 2007

Lung Cancer

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Computed tomographic evaluation of the adrenal gland in the preoperative assessment of bronchogenic carcinoma.

Cited by 88 publications

References 0 publications

Role of multidetector computed tomography in evaluation of suspected bronchogenic carcinoma

Role of multidetector computed tomography in evaluation of suspected bronchogenic carcinoma

Optimal anatomic coverage for CT in staging lung cancer: Lessons from PET-CT correlation

Detecting extrathoracic metastases in patients with non-small cell lung cancer: Is routine scanning necessary?

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