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Imaging Evaluation of Malignant Chest Wall Neoplasms
Radiographics, 2016-09, Vol.36 (5), p.1285
Carter, Brett W
Benveniste, Marcelo F
Betancourt, Sonia L
de Groot, Patricia M
Lichtenberger, 3rd, John P
Amini, Behrang
Abbott, Gerald F
2016
Details
Autor(en) / Beteiligte
Carter, Brett W
Benveniste, Marcelo F
Betancourt, Sonia L
de Groot, Patricia M
Lichtenberger, 3rd, John P
Amini, Behrang
Abbott, Gerald F
Titel
Imaging Evaluation of Malignant Chest Wall Neoplasms
Ist Teil von
Radiographics, 2016-09, Vol.36 (5), p.1285
Ort / Verlag
United States
Erscheinungsjahr
2016
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Neoplasms of the chest wall are uncommon lesions that represent approximately 5% of all thoracic malignancies. These tumors comprise a heterogeneous group of neoplasms that may arise from osseous structures or soft tissues, and they may be malignant or benign. More than 50% of chest wall neoplasms are malignancies and include tumors that may arise as primary malignancies or secondarily involve the chest wall by way of direct invasion or metastasis from intrathoracic or extrathoracic neoplasms. Although 20% of chest wall tumors may be detected at chest radiography, chest wall malignancies are best evaluated with cross-sectional imaging, principally multidetector computed tomography (CT) and magnetic resonance (MR) imaging, each of which has distinct strengths and limitations. Multidetector CT is optimal for depicting bone, muscle, and vascular structures, whereas MR imaging renders superior soft-tissue contrast and spatial resolution and is better for delineating the full extent of disease. Fluorine 18 fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT is not routinely performed to evaluate chest wall malignancies. The primary functions of PET/CT in this setting include staging of disease, evaluation of treatment response, and detection of recurrent disease. Ultrasonography has a limited role in the evaluation and characterization of superficial chest wall lesions; however, it can be used to guide biopsy and has been shown to depict chest wall invasion by lung cancer more accurately than CT. It is important that radiologists be able to identify the key multidetector CT and MR imaging features that can be used to differentiate malignant from benign chest lesions, suggest specific histologic tumor types, and ultimately guide patient treatment. (©)RSNA, 2016.
Sprache
Englisch
Identifikatoren
eISSN: 1527-1323
DOI: 10.1148/rg.2016150208
Titel-ID: cdi_pubmed_primary_27494286
Format
–
Schlagworte
Diagnosis, Differential
,
Humans
,
Thoracic Neoplasms - diagnostic imaging
,
Thoracic Neoplasms - pathology
,
Thoracic Wall - diagnostic imaging
,
Thoracic Wall - pathology
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