Hepatocellular carcinoma chest x ray: Difference between revisions
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[[Chest X-ray|Chest x-ray]] may be helpful in the identification of certain complications that can occur as a result of hepatocellular carcinoma (HCC) and in the detection of HCC [[metastasis]] to the [[lungs]] or to detect [[pleural effusion]]. | [[Chest X-ray|Chest x-ray]] may be helpful in the identification of certain complications that can occur as a result of hepatocellular carcinoma (HCC) and in the detection of HCC [[metastasis]] to the [[lungs]] or to detect [[pleural effusion]]. | ||
==Key Chest X-Ray Findings in Hepatocellular Carcinoma== | ==Key Chest X-Ray Findings in Hepatocellular Carcinoma== | ||
[[Chest X-ray|Chest x-ray]] ([[Chest X-ray|CXR]]) has a limited role in the [[diagnosis]] and management of patients with hepatocellular carcinoma, however [[Chest X-ray|chest x-ray]] might be helpful in the detection of HCC [[metastasis]] to the [[lungs]] or to detect [[pleural effusion]]. | [[Chest X-ray|Chest x-ray]] ([[Chest X-ray|CXR]]) has a limited role in the [[diagnosis]] and management of patients with hepatocellular carcinoma, however [[Chest X-ray|chest x-ray]] might be helpful in the detection of HCC [[metastasis]] to the [[lungs]] or to detect [[pleural effusion]].<ref name="pmid10571823">{{cite journal |vauthors=Toyoda H, Sugimura S, Fukuda K, Mabuchi T |title=Hepatocellular carcinoma with spontaneous regression of multiple lung metastases |journal=Pathol. Int. |volume=49 |issue=10 |pages=893–7 |year=1999 |pmid=10571823 |doi= |url=}}</ref> | ||
* [[Chest X-ray|CXR]] is used to screen for [[ascites]], seek evidence of [[bowel perforation]] in [[Patient|patients]] with suspected [[spontaneous bacterial peritonitis]], and monitor [[Intestine|bowel]] distension in acutely ill [[Patient|patients]] admitted for treatment of decompensation or [[Gastrointestinal varices|variceal hemorrhage]]. | * [[Chest X-ray|CXR]] is used to screen for [[ascites]], seek evidence of [[bowel perforation]] in [[Patient|patients]] with suspected [[spontaneous bacterial peritonitis]], and monitor [[Intestine|bowel]] distension in acutely ill [[Patient|patients]] admitted for treatment of decompensation or [[Gastrointestinal varices|variceal hemorrhage]]. | ||
* [[X-rays|X-ray]] may show elevation of the [[Thoracic diaphragm|diaphragm]] from [[ascites]]. | * [[X-rays|X-ray]] may show elevation of the [[Thoracic diaphragm|diaphragm]] from [[ascites]]. | ||
Revision as of 22:11, 30 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]
Overview
Chest x-ray may be helpful in the identification of certain complications that can occur as a result of hepatocellular carcinoma (HCC) and in the detection of HCC metastasis to the lungs or to detect pleural effusion.
Key Chest X-Ray Findings in Hepatocellular Carcinoma
Chest x-ray (CXR) has a limited role in the diagnosis and management of patients with hepatocellular carcinoma, however chest x-ray might be helpful in the detection of HCC metastasis to the lungs or to detect pleural effusion.[1]
- CXR is used to screen for ascites, seek evidence of bowel perforation in patients with suspected spontaneous bacterial peritonitis, and monitor bowel distension in acutely ill patients admitted for treatment of decompensation or variceal hemorrhage.
- X-ray may show elevation of the diaphragm from ascites.
- Gynecomastia may be appreciated on CXR.
- The azygos vein may be enlarged due to collateral flow and pleural effusions may develop due to pleuroperitoneal fistulas.
- Esophageal varices may be detected on barium study.