Small cell carcinoma of the lung CT: Difference between revisions
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==Overview== | ==Overview== | ||
Chest CT scan, preferably with intravenous [[contrast]] administration, may be helpful in the diagnosis of small cell carcinoma. Findings on CT scan suggestive of small cell carcinoma include hilar mass, mediastinal involvement, numerous lymphadenopathy, direct infiltration of adjacent structures, necrosis and hemorrhage. Small cell carcinoma of the lung is the most common cause of SVC obstruction, due to both compression/thrombosis and/or direct infiltration | Chest [[CT scan]], preferably with [[intravenous]] [[contrast]] administration, may be helpful in the [[diagnosis]] of small cell carcinoma. Findings on [[CT scan]] suggestive of small cell carcinoma include [[Hilum|hilar]] mass, [[mediastinal]] involvement, numerous [[lymphadenopathy]], direct infiltration of adjacent structures, [[necrosis]] and [[hemorrhage]]. Small cell carcinoma of the lung is the most common cause of [[SVC obstruction]], due to both compression/[[thrombosis]] and/or direct infiltration. All patients with confirmed diagnosis of SCLC by [[histopathological]] findings should undergo a [[CT scan]] of the [[abdomen]] for staging purposes. [[Computed tomography|CT scan]] of the [[abdomen]] helps identify [[metastasis]] to organs, such as the [[liver]] or the [[adrenal glands]]. Brain imaging is also mandatory for staging; however, brain [[MRI]] is preferred over brain [[CT scan]] due to its superior [[sensitivity]] for the detection of brain [[metastasis]]. In addition, when limited stage small cell lung cancer is suspected, [[PET]] CT scan should be performed. | ||
==CT== | ==CT== | ||
Chest CT scan, preferably with intravenous [[contrast]] administration, may be helpful in the diagnosis of small cell carcinoma. Findings on CT scan suggestive of small cell carcinoma include:<ref name=NCCN>[http://www.nccn.org/professionals/physician_gls/f_guidelines_nojava.asp NCCN Clinical Practice Guidelines in Oncology. Small Cell Lung Cancer, version 2.2014] </ref> | Chest [[Computed tomography|CT scan]], preferably with [[intravenous]] [[contrast]] administration, may be helpful in the [[diagnosis]] of small cell carcinoma. Findings on [[Computed tomography|CT scan]] suggestive of small cell carcinoma include:<ref name="NCCN">[http://www.nccn.org/professionals/physician_gls/f_guidelines_nojava.asp NCCN Clinical Practice Guidelines in Oncology. Small Cell Lung Cancer, version 2.2014] </ref> | ||
*Hilar mass | *[[Hilum|Hilar]] mass | ||
*Mediastinal involvement | *[[Mediastinum|Mediastinal]] involvement | ||
*Numerous lymphadenopathy | *Numerous [[lymphadenopathy]] | ||
*Direct infiltration of adjacent structures | *Direct infiltration of adjacent structures | ||
*Necrosis | *[[Necrosis]] | ||
*Hemorrhage | *[[Hemorrhage]] | ||
* | *The most common cause of [[SVC obstruction]] is SCLC, because of both compression or [[thrombosis]] and or direct infiltration. | ||
*CT is used to stage small cell lung cancer. | *[[CT-scans|CT]] is used to stage small cell lung cancer. | ||
*CT scan of the abdomen helps identify [[metastasis]] to organs, such as the [[liver]] or the [[adrenal glands]]. | *CT scan of the abdomen helps identify [[metastasis]] to organs, such as the [[liver]] or the [[adrenal glands]]. | ||
*Brain imaging is also mandatory for staging | *[[Brain]] imaging is also mandatory for staging however a brain [[MRI]] is preferred over brain [[CT scan]] due to its superior [[sensitivity]] for the detection of [[brain]] [[metastasis]]. | ||
*[[PET]] CT scan should be performed if limited stage small cell lung cancer is suspected. | *[[PET]] [[CT-scans|CT]] scan should be performed if limited stage small cell lung cancer is suspected. | ||
==References== | ==References== | ||
Latest revision as of 18:58, 30 April 2018
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Small Cell Carcinoma of the Lung Microchapters |
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Differentiating Small Cell Carcinoma of the Lung from other Diseases |
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Small cell carcinoma of the lung CT On the Web |
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American Roentgen Ray Society Images of Small cell carcinoma of the lung CT |
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Directions to Hospitals Treating Small cell carcinoma of the lung |
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Risk calculators and risk factors for Small cell carcinoma of the lung CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]
Overview
Chest CT scan, preferably with intravenous contrast administration, may be helpful in the diagnosis of small cell carcinoma. Findings on CT scan suggestive of small cell carcinoma include hilar mass, mediastinal involvement, numerous lymphadenopathy, direct infiltration of adjacent structures, necrosis and hemorrhage. Small cell carcinoma of the lung is the most common cause of SVC obstruction, due to both compression/thrombosis and/or direct infiltration. All patients with confirmed diagnosis of SCLC by histopathological findings should undergo a CT scan of the abdomen for staging purposes. CT scan of the abdomen helps identify metastasis to organs, such as the liver or the adrenal glands. Brain imaging is also mandatory for staging; however, brain MRI is preferred over brain CT scan due to its superior sensitivity for the detection of brain metastasis. In addition, when limited stage small cell lung cancer is suspected, PET CT scan should be performed.
CT
Chest CT scan, preferably with intravenous contrast administration, may be helpful in the diagnosis of small cell carcinoma. Findings on CT scan suggestive of small cell carcinoma include:[1]
- Hilar mass
- Mediastinal involvement
- Numerous lymphadenopathy
- Direct infiltration of adjacent structures
- Necrosis
- Hemorrhage
- The most common cause of SVC obstruction is SCLC, because of both compression or thrombosis and or direct infiltration.
- CT is used to stage small cell lung cancer.
- CT scan of the abdomen helps identify metastasis to organs, such as the liver or the adrenal glands.
- Brain imaging is also mandatory for staging however a brain MRI is preferred over brain CT scan due to its superior sensitivity for the detection of brain metastasis.
- PET CT scan should be performed if limited stage small cell lung cancer is suspected.