Pancoast tumor chest x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pancoast tumor}} | {{Pancoast tumor}} | ||
{{CMG}}{{AE}}{{Mazia}} | {{CMG}}; {{AE}} {{Mazia}} | ||
==Overveiw== | ==Overveiw== | ||
An x-ray may be helpful in the diagnosis of Pancoast tumor. Lordotic view on x-ray is helpful in visualizing Pancoast tumor because of its characteristic location in the apical portion of the lung. Findings on an x-ray suggestive of Pancoast tumor include opacity at the apex of the lung or in the superior sulcus area, the spread of the tumor can result in rib invasion that is observed as a bone destruction of posterior ribs, vertebral body infiltration, enlargement of the mediastinum. | An [[x-ray]] may be helpful in the [[diagnosis]] of Pancoast tumor. Lordotic view on [[x-ray]] is helpful in visualizing Pancoast tumor because of its characteristic location in the [[apical]] portion of the [[lung]]. Findings on an [[x-ray]] suggestive of Pancoast tumor include [[opacity]] at the [[apex]] of the [[lung]] or in the superior sulcus area, the spread of the [[tumor]] can result in [[rib]] [[invasion]] that is observed as a [[bone]] destruction of [[posterior]] [[ribs]], [[vertebral body]] [[Infiltration (medical)|infiltration]], [[Enlargement of organs|enlargement]] of the [[mediastinum]]. | ||
==Chest X-ray== | ==Chest X-ray== | ||
*An x-ray may be helpful in the diagnosis of Pancoast tumor.<ref name="pmid18349457">{{cite journal |vauthors=Bruzzi JF, Komaki R, Walsh GL, Truong MT, Gladish GW, Munden RF, Erasmus JJ |title=Imaging of non-small cell lung cancer of the superior sulcus: part 1: anatomy, clinical manifestations, and management |journal=Radiographics |volume=28 |issue=2 |pages=551–60; quiz 620 |date= 2008 |pmid=18349457 |doi=10.1148/rg.282075709 |url=}}</ref><ref name="pmid24102007">{{cite journal |vauthors=Foroulis CN, Zarogoulidis P, Darwiche K, Katsikogiannis N, Machairiotis N, Karapantzos I, Tsakiridis K, Huang H, Zarogoulidis K |title=Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment |journal=J Thorac Dis |volume=5 Suppl 4 |issue= |pages=S342–58 |date=September 2013 |pmid=24102007 |pmc=3791502 |doi=10.3978/j.issn.2072-1439.2013.04.08 |url=}}</ref><ref name="pmid27429965">{{cite journal |vauthors=Marulli G, Battistella L, Mammana M, Calabrese F, Rea F |title=Superior sulcus tumors (Pancoast tumors) |journal=Ann Transl Med |volume=4 |issue=12 |pages=239 |date=June 2016 |pmid=27429965 |pmc=4930518 |doi=10.21037/atm.2016.06.16 |url=}}</ref> | *An [[x-ray]] may be helpful in the [[diagnosis]] of Pancoast tumor.<ref name="pmid18349457">{{cite journal |vauthors=Bruzzi JF, Komaki R, Walsh GL, Truong MT, Gladish GW, Munden RF, Erasmus JJ |title=Imaging of non-small cell lung cancer of the superior sulcus: part 1: anatomy, clinical manifestations, and management |journal=Radiographics |volume=28 |issue=2 |pages=551–60; quiz 620 |date= 2008 |pmid=18349457 |doi=10.1148/rg.282075709 |url=}}</ref><ref name="pmid24102007">{{cite journal |vauthors=Foroulis CN, Zarogoulidis P, Darwiche K, Katsikogiannis N, Machairiotis N, Karapantzos I, Tsakiridis K, Huang H, Zarogoulidis K |title=Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment |journal=J Thorac Dis |volume=5 Suppl 4 |issue= |pages=S342–58 |date=September 2013 |pmid=24102007 |pmc=3791502 |doi=10.3978/j.issn.2072-1439.2013.04.08 |url=}}</ref><ref name="pmid27429965">{{cite journal |vauthors=Marulli G, Battistella L, Mammana M, Calabrese F, Rea F |title=Superior sulcus tumors (Pancoast tumors) |journal=Ann Transl Med |volume=4 |issue=12 |pages=239 |date=June 2016 |pmid=27429965 |pmc=4930518 |doi=10.21037/atm.2016.06.16 |url=}}</ref> | ||
*Lordotic view on x-ray is helpful in visualizing Pancoast tumor because of its characteristic location in the apical portion of the lung. | *Lordotic view on [[x-ray]] is helpful in visualizing Pancoast tumor because of its characteristic location in the [[apical]] portion of the [[lung]]. | ||
*Findings on an x-ray suggestive of Pancoast tumor include: | *Findings on an [[x-ray]] suggestive of Pancoast tumor include: | ||
**Opacity at the apex of the lung or in the superior sulcus area. | **[[Opacity]] at the [[apex]] of the [[lung]] or in the superior sulcus area. | ||
**Spread of the tumor can result in rib invasion that is observed as bone destruction of posterior ribs. | **Spread of the [[tumor]] can result in [[rib]] [[invasion]] that is observed as [[bone]] destruction of [[posterior]] [[ribs]]. | ||
**Vertebral body infiltration | **[[Vertebral body]] [[Infiltration (medical)|infiltration]] | ||
**Enlargement of the mediastinum. | **[[Mediastinum|Enlargement of the mediastinum]]. | ||
[[File:Pancoast-tumour-4.jpg|left|thumb|350px|Volume loss of right lung, large ill-defined soft tissue mass in the right upper zone with upper rib destruction. | [[File:Pancoast-tumour-4.jpg|left|thumb|350px|Volume loss of right lung, large ill-defined soft tissue mass in the right upper zone with upper rib destruction.Case courtesy of Dr Paresh K Desai , rID: 10035]] | ||
[[File:Pancoast-tumour-10.jpg|left|thumb|350px| Opacity obscuring the right lung apex. | [[File:Pancoast-tumour-10.jpg|left|thumb|350px| Opacity obscuring the right lung apex. Case courtesy of Dr Bruno Di Muzio, rID: 29403]] | ||
[[File:Pancoast-tumour-6.jpg|left|thumb|350px|Pancoast tumour with osseous destruction. | [[File:Pancoast-tumour-6.jpg|left|thumb|350px|Pancoast tumour with osseous destruction. Case courtesy of Dr Garth Kruger, rID: 21223]] | ||
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Latest revision as of 14:29, 16 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]
Overveiw
An x-ray may be helpful in the diagnosis of Pancoast tumor. Lordotic view on x-ray is helpful in visualizing Pancoast tumor because of its characteristic location in the apical portion of the lung. Findings on an x-ray suggestive of Pancoast tumor include opacity at the apex of the lung or in the superior sulcus area, the spread of the tumor can result in rib invasion that is observed as a bone destruction of posterior ribs, vertebral body infiltration, enlargement of the mediastinum.
Chest X-ray
- An x-ray may be helpful in the diagnosis of Pancoast tumor.[1][2][3]
- Lordotic view on x-ray is helpful in visualizing Pancoast tumor because of its characteristic location in the apical portion of the lung.
- Findings on an x-ray suggestive of Pancoast tumor include:
- Opacity at the apex of the lung or in the superior sulcus area.
- Spread of the tumor can result in rib invasion that is observed as bone destruction of posterior ribs.
- Vertebral body infiltration
- Enlargement of the mediastinum.
References
- ↑ Bruzzi JF, Komaki R, Walsh GL, Truong MT, Gladish GW, Munden RF, Erasmus JJ (2008). "Imaging of non-small cell lung cancer of the superior sulcus: part 1: anatomy, clinical manifestations, and management". Radiographics. 28 (2): 551–60, quiz 620. doi:10.1148/rg.282075709. PMID 18349457.
- ↑ Foroulis CN, Zarogoulidis P, Darwiche K, Katsikogiannis N, Machairiotis N, Karapantzos I, Tsakiridis K, Huang H, Zarogoulidis K (September 2013). "Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment". J Thorac Dis. 5 Suppl 4: S342–58. doi:10.3978/j.issn.2072-1439.2013.04.08. PMC 3791502. PMID 24102007.
- ↑ Marulli G, Battistella L, Mammana M, Calabrese F, Rea F (June 2016). "Superior sulcus tumors (Pancoast tumors)". Ann Transl Med. 4 (12): 239. doi:10.21037/atm.2016.06.16. PMC 4930518. PMID 27429965.