Adenocarcinoma of the lung CT
Adenocarcinoma of the Lung Microchapters |
Differentiating Adenocarcinoma of the Lung from other Diseases |
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Adenocarcinoma of the lung CT On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]
Overview
Chest CT scan may be helpful in the diagnosis of adenocarcinoma of the lung. Finding on CT scan suggestive of adenocarcinoma of the lung is a lung nodule with a rounded or irregular region of increased attenuation.
CT Scan
- CT scan is the preferred modality for staging adenocarcinoma of the lung.
- Findings on CT scan suggestive of adenocarcinoma of the lung include:[1]
- Adenocarcinoma appears as a lung nodule with a rounded or irregular region of increased attenuation, measuring less than 3 cm.
- Based on degree of attenuation, lung nodules may be either ground glass, sub-solid, or solid.
- Histologically, the ground-glass attenuation corresponds to a lepidic growth pattern and the solid component corresponds to invasive patterns.
- Hence, the preinvasive category of adenocarcinoma in situ, minimally invasive adenocarcinoma, and lepidic predominant invasive adenocarcinoma is often seen as ground glass nodule or sub-solid nodule with a predominant ground-glass component.
- On the other hand, the remaining invasive subtypes of adenocarcinoma is usually a solid nodule but may also subsolid and only occasionally seen as ground glass nodule.
- Invasive mucinous adenocarcinoma subtype may have a variable appearance ranging from consolidation, air bronchograms or seen as multifocal subsolid nodules or masses.
References
- ↑ Adenocarcinoma of the lung. Dr Yuranga Weerakkody and A.Prof Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/adenocarcinoma-of-the-lung