Pancoast tumor MRI

Pancoast tumor Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Pancoast tumor 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
Chest X Ray
CT
MRI
Echocardiography or Ultrasound
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
Pancoast tumor MRI On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Pancoast tumor MRI All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pancoast tumor MRI
CDC onPancoast tumor MRI
Pancoast tumor MRI in the news
Blogs on Pancoast tumor MRI
Directions to Hospitals Treating Type page name here
Risk calculators and risk factors for Pancoast tumor MRI

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.
• 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.

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).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>

References