Pancoast tumor diagnostic study of choice: Difference between revisions
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Created page with "__NOTOC__ {{Pancoast tumor}} {{CMG}}; {{AE}} == Overview == == Diagnostic Study of Choice == ===== Template statements ===== === Study of choice: === * [Name of the investi..." |
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__NOTOC__ | __NOTOC__ | ||
{{Pancoast tumor}} | {{Pancoast tumor}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{Mazia}} | ||
== Overview == | == Overview == | ||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
* CT scan is the gold standard test for the diagnosis of Pancoast tumor. | |||
* The following result of CT scan is confirmatory of Pancoast tumor:<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> | |||
**[[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 (medical)|infiltration]] | |||
**[[Mediastinum|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]]. | |||
**[[Subclavian]] [[vessel]] involvement is assessed by [[CT-scans|contrast CT scanning]]. | |||
[[File:Pancoast-tumour-with-cystic-cerebral-metastasis (1).jpg|left|thumb|350px|Irregular shaped ill defined right apical lung mass is seen invading the right aspect of D2 vertebral body with its transverse process, costovertebral junction and adjacent rib. superiorly it extends to the root of the neck.<small>Case courtesy of Dr Ahmed Abd Rabou, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/27303">rID: 27303</a><small>]] | |||
<br clear="left" /> | |||
[[File:Pancoast-tumour-7.jpg|left|thumb|350px|The chest CT scan confirms that the tumor involves the superior sulcus.Case courtesy of Dr David Cuete, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/23281">rID: 23281</a>]] | |||
<br clear="left" /> | |||
*[[MRI]] imaging should be performed for: | |||
**Evaluation of [[chest wall]] [[invasion]] | |||
**[[Examination]] of [[vascular]] structures and [[brachial plexus]] involvement | |||
* [ | **Evaluation of resectability of the [[tumor]]. | ||
** | |||
* | |||
** | |||
=== Diagnostic Criteria === | === Diagnostic Criteria === | ||
* [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name]. | * [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name]. | ||
* There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...]. | * There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...]. | ||
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IF there are clear, established diagnostic criteria: | IF there are clear, established diagnostic criteria: | ||
*The diagnosis of | *The diagnosis of Pancoast tumor is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4]. | ||
*The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3]. | *The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3]. | ||
*The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3]. | *The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3]. | ||
Revision as of 22:13, 5 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]
Overview
Diagnostic Study of Choice
- CT scan is the gold standard test for the diagnosis of Pancoast tumor.
- The following result of CT scan is confirmatory of Pancoast tumor:[1]
- 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.
- Subclavian vessel involvement is assessed by contrast CT scanning.
.jpg)
- MRI imaging should be performed for:
- Evaluation of chest wall invasion
- Examination of vascular structures and brachial plexus involvement
- Evaluation of resectability of the tumor.
Diagnostic Criteria
- [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
- There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
- The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
- The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
- [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
- Criteria 1
- Criteria 2
- Criteria 3
IF there are clear, established diagnostic criteria:
- The diagnosis of Pancoast tumor is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
- The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
- The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
IF there are no established diagnostic criteria:
- There are no established criteria for the diagnosis of [disease name].
References
- ↑ 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.