Pancoast tumor MRI: Difference between revisions
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==Overveiw== | ==Overveiw== | ||
MRI is helpful in the diagnosis of Pancoast tumor. MRI offers greater detail in the evaluation of chest wall invasion, examination of vascular structures and brachial plexus involvement and resectability of the tumor. | [[MRI]] is helpful in the [[diagnosis]] of Pancoast tumor. [[MRI]] offers greater detail in the evaluation of [[chest wall]] [[invasion]], [[examination]] of [[vascular]] structures and [[brachial plexus]] involvement and resectability of the [[tumor]]. | ||
==MRI== | ==MRI== | ||
*MRI is helpful in the diagnosis of Pancoast tumor.<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="pmid19699106">{{cite journal |vauthors=Tamura M, Hoda MA, Klepetko W |title=Current treatment paradigms of superior sulcus tumours |journal=Eur J Cardiothorac Surg |volume=36 |issue=4 |pages=747–53 |date=October 2009 |pmid=19699106 |doi=10.1016/j.ejcts.2009.04.036 |url=}}</ref><ref name="pmid1186286">{{cite journal |vauthors=Paulson DL |title=Carcinomas in the superior pulmonary sulcus |journal=J. Thorac. Cardiovasc. Surg. |volume=70 |issue=6 |pages=1095–104 |date=December 1975 |pmid=1186286 |doi= |url=}}</ref> | *[[MRI]] is helpful in the [[diagnosis]] of Pancoast tumor.<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="pmid19699106">{{cite journal |vauthors=Tamura M, Hoda MA, Klepetko W |title=Current treatment paradigms of superior sulcus tumours |journal=Eur J Cardiothorac Surg |volume=36 |issue=4 |pages=747–53 |date=October 2009 |pmid=19699106 |doi=10.1016/j.ejcts.2009.04.036 |url=}}</ref><ref name="pmid1186286">{{cite journal |vauthors=Paulson DL |title=Carcinomas in the superior pulmonary sulcus |journal=J. Thorac. Cardiovasc. Surg. |volume=70 |issue=6 |pages=1095–104 |date=December 1975 |pmid=1186286 |doi= |url=}}</ref> | ||
*MRI offers greater detail in the evaluation of chest wall invasion, examination of vascular structures and brachial plexus involvement and resectability of the tumor. | *[[MRI]] offers greater detail in the evaluation of [[chest wall]] [[invasion]], [[examination]] of [[vascular]] structures and [[brachial plexus]] involvement and resectability of the [[tumor]]. | ||
*Findings on MRI suggestive of Pancoast tumor include: | *Findings on [[MRI]] 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 | **Enlargement of the [[mediastinum]] | ||
**Invasion of brachial plexus | **[[Invasion]] of [[brachial plexus]] | ||
**Invasion of chest wall and/or mediastinum | **[[Invasion]] of [[chest wall]] and/or [[mediastinum]] | ||
**Extension of the tumor into vena cava, trachea and esophagus. | **[[Extension]] of the [[tumor]] into [[vena cava]], [[trachea]] and [[esophagus]]. | ||
[[File:Pancoast-tumour.jpg|left|thumb|350px|MRI of the upper chest on the right demonstrates a large mass centred in the apex of the right lung. Direct extension though the pleura and into the adjacent chest wall is seen, without obvious involvement of the brachial plexus (best demonstrated on sagittal T1).<small>Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/7137">rID: 7137</a><small>]] | [[File:Pancoast-tumour.jpg|left|thumb|350px|MRI of the upper chest on the right demonstrates a large mass centred in the apex of the right lung. Direct extension though the pleura and into the adjacent chest wall is seen, without obvious involvement of the brachial plexus (best demonstrated on sagittal T1).<small>Case courtesy of A.Prof Frank Gaillard, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/7137">rID: 7137</a><small>]] | ||
Revision as of 17:01, 4 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
MRI is helpful in the diagnosis of Pancoast tumor. MRI offers greater detail in the evaluation of chest wall invasion, examination of vascular structures and brachial plexus involvement and resectability of the tumor.
MRI
- MRI is helpful in the diagnosis of Pancoast tumor.[1][2][3]
- MRI offers greater detail in the evaluation of chest wall invasion, examination of vascular structures and brachial plexus involvement and resectability of the tumor.
- Findings on MRI 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
- Invasion of brachial plexus
- Invasion of chest wall and/or mediastinum
- Extension of the tumor into vena cava, trachea and esophagus.
References
- ↑ 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.
- ↑ Tamura M, Hoda MA, Klepetko W (October 2009). "Current treatment paradigms of superior sulcus tumours". Eur J Cardiothorac Surg. 36 (4): 747–53. doi:10.1016/j.ejcts.2009.04.036. PMID 19699106.
- ↑ Paulson DL (December 1975). "Carcinomas in the superior pulmonary sulcus". J. Thorac. Cardiovasc. Surg. 70 (6): 1095–104. PMID 1186286.