Lung cancer chest x ray: Difference between revisions

Jump to navigation Jump to search
(Mahshid)
 
(7 intermediate revisions by one other user not shown)
Line 2: Line 2:
{{Lung cancer}}
{{Lung cancer}}


{{CMG}}; '''Associate Editor(s)-In-Chief:''' Kim-Son H. Nguyen, M.D., M.P.A., Beth Israel Deaconess Medical Center, Harvard Medical School, Boston MA, {{CZ}}
{{CMG}}; {{AE}} {{SH}}


==Overview==
==Overview==
Line 8: Line 8:


==Chest X Ray==
==Chest X Ray==
This may reveal an obvious mass, widening of the [[mediastinum]] (suggestive of spread to [[lymph node]]s there), [[atelectasis]] (collapse), consolidation ([[pneumonia]]), or [[pleural effusion]].
* An x-ray may be helpful in the diagnosis of lung cancer. Findings on an x-ray suggestive of lung cancer include:<ref name="JackmanJohnson2005">{{cite journal|last1=Jackman|first1=David M|last2=Johnson|first2=Bruce E|title=Small-cell lung cancer|journal=The Lancet|volume=366|issue=9494|year=2005|pages=1385–1396|issn=01406736|doi=10.1016/S0140-6736(05)67569-1}}</ref><ref name="WhittenKhan2007">{{cite journal|last1=Whitten|first1=Camilla R.|last2=Khan|first2=Sameer|last3=Munneke|first3=Graham J.|last4=Grubnic|first4=Sisa|title=A Diagnostic Approach to Mediastinal Abnormalities|journal=RadioGraphics|volume=27|issue=3|year=2007|pages=657–671|issn=0271-5333|doi=10.1148/rg.273065136}}</ref><ref name="PurandareRangarajan2015">{{cite journal|last1=Purandare|first1=NilenduC|last2=Rangarajan|first2=Venkatesh|title=Imaging of lung cancer: Implications on staging and management|journal=Indian Journal of Radiology and Imaging|volume=25|issue=2|year=2015|pages=109|issn=0971-3026|doi=10.4103/0971-3026.155831}}</ref>
 
** An obvious mass
If there are no x-ray findings but the suspicion is high (such as a heavy smoker with blood-stained sputum), [[bronchoscopy]] and/or a [[CT scan]] may provide the necessary information. Bronchoscopy or CT-guided [[biopsy]] is often used to identify the tumor type.
** Widening of the [[mediastinum]]  
 
** [[Atelectasis]]
The [[differential diagnosis]] for patients who present with abnormalities on chest x-ray includes lung cancer, as well as nonmalignant diseases. These include infectious causes such as [[tuberculosis]] or pneumonia, or inflammatory conditions such as [[sarcoidosis]]. These diseases can result in [[mediastinum|mediastinal]] [[lymphadenopathy]] or lung [[nodule (medicine)|nodules]], and sometimes mimic lung cancers.
** Consolidations
[[Image:Thorax pa peripheres Bronchialcarcinom li OF markiert.jpg|left|thumb|350px|Chest x-ray showing a cancerous tumor in the left lung]]
** [[Pleural effusion]].
<br clear="left"/>
** [[Mediastinum|Mediastinal]] [[lymphadenopathy]]
** Lung [[nodule (medicine)|nodules]]


===A Clinical Example of Disease Progression===
===A Clinical Example of Disease Progression===
Line 21: Line 22:


{| align="left"
{| align="left"
|-valign="top"
|- valign="top"
| [[Image:Small Cell Lung CA 001.JPG|thumb|Chest x-ray: Small cell carcinoma of the lung. At the time of diagnosis.]]
| [[Image:Small Cell Lung CA 001.JPG|thumb|Chest x-ray: Small cell carcinoma of the lung. At the time of diagnosis.]]
| [[Image:Small Cell Lung CA 002.JPG|thumb|Chest x-ray: Small cell carcinoma of the lung. Five weeks later.]]
| [[Image:Small Cell Lung CA 002.JPG|thumb|Chest x-ray: Small cell carcinoma of the lung. Five weeks later.]]
| [[Image:Small Cell Lung CA 003.JPG|thumb|Chest x-ray: Small cell carcinoma of the lung. Two months later.]]
| [[Image:Small Cell Lung CA 003.JPG|thumb|Chest x-ray: Small cell carcinoma of the lung. Two months later.]]
|}
|}
<br clear="left"/>
<br clear="left" />


==References==
==References==

Latest revision as of 21:25, 27 March 2018

Lung cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Lung cancer 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

X-ray

Echocardiography and Ultrasound

CT scan

MRI

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

Lung cancer chest x ray On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Lung cancer chest x ray

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Lung cancer chest x ray

CDC on Lung cancer chest x ray

Lung cancer chest x ray in the news

Blogs on Lung cancer chest x ray

Directions to Hospitals Treating Lung cancer

Risk calculators and risk factors for Lung cancer chest x ray

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

Overview

Performing a chest x-ray is the first step if a patient reports symptoms that may be suggestive of lung cancer. Often lung cancers are picked up on a routine chest X-ray in a person experiencing no symptoms.

Chest X Ray

A Clinical Example of Disease Progression

Images shown below are courtesy of Cafer Zorkun MD and copylefted

Chest x-ray: Small cell carcinoma of the lung. At the time of diagnosis.
Chest x-ray: Small cell carcinoma of the lung. Five weeks later.
Chest x-ray: Small cell carcinoma of the lung. Two months later.


References

  1. Jackman, David M; Johnson, Bruce E (2005). "Small-cell lung cancer". The Lancet. 366 (9494): 1385–1396. doi:10.1016/S0140-6736(05)67569-1. ISSN 0140-6736.
  2. Whitten, Camilla R.; Khan, Sameer; Munneke, Graham J.; Grubnic, Sisa (2007). "A Diagnostic Approach to Mediastinal Abnormalities". RadioGraphics. 27 (3): 657–671. doi:10.1148/rg.273065136. ISSN 0271-5333.
  3. 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:Tumors

Template:WikiDoc Sources