Pancoast tumor CT

Revision as of 20:48, 22 February 2018 by Mazia Fatima (talk | contribs)
Jump to navigation Jump to search


Pancoast tumor Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pancoast tumor from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pancoast tumor CT On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pancoast tumor CT

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pancoast tumor CT

CDC onPancoast tumor CT

Pancoast tumor CT in the news

Blogs on Pancoast tumor CT

Directions to Hospitals Treating Type page name here

Risk calculators and risk factors for Pancoast tumor CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]

Overview

CT scan is diagnostic of Pancoast tumor. CT scan has a limited ability to determine the extent of invasion of the primary tumor into adjoining structures when compared to MRI scan. Findings on CT scan of the chest suggestive of Pancoast tumor include invasion of brachial plexus, invasion of the chest wall and/or mediastinum, the extension of the tumor into vena cava, trachea and esophagus, subclavian-vessel involvement is assessed by contrast CT scanning.

CT Scan

  • CT scan is diagnostic of Pancoast tumor, a subtype of lung cancer located at the lung apex.
  • CT scan has a limited ability to determine the extent of invasion of the primary tumor into adjoining structures when compared to MRI scan.
  • Chest CT scan is the modality of choice in the diagnosis of lung cancer. Findings on CT scan of the chest suggestive of Pancoast tumor include:[1]
    • Invasion of brachial plexus
    • Invasion of chest wall and/or mediastinum
    • Extension of the tumor into vena cava, trachea and esophagus.
    • Subclavian vessel involvement is assessed by contrast CT scanning.
Irregular shaped ill defined right apical lung mass is seen invading the right aspect of D2 vertebral body with its transverse process, costovertebral junction and adjacent rib. superiorly it extends to the root of the neck.Case courtesy of Dr Ahmed Abd Rabou, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/27303">rID: 27303</a>


The chest CT scan confirms that the tumor involves the superior sulcus.Case courtesy of Dr David Cuete, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/23281">rID: 23281</a>


Superior sulcus tumor. Axial (A) and coronal (B) CT scans show a large mass in the apex of the right lung causing destruction of the first and second ribs (arrows) with erosion of the right half of the vertebral body (arrowheads) suggestive of a superior sulcus tumor, via<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419420/figure/F16/>

References

  1. Purandare, NilenduC; Rangarajan, Venkatesh (2015). "Imaging of lung cancer: Implications on staging and management". Indian Journal of Radiology and Imaging. 25 (2): 109. doi:10.4103/0971-3026.155831. ISSN 0971-3026.

Template:WH Template:WS