Case of the Month 26 August 2017

Slides:

Advertisements

Similar presentations

TB Diagnostics Chest X-Ray Hello

Advertisements

STAGING OF BRONCHOGENIC CA NSCLC STAGING TNM CLASSFICATION Adenocarcinoma Squamous cell carcinoma Large cell carcinoma T – Primary tumor N – Regional.

Large cell carcinoma Accounts for 5-10% of all lung cancers.

CORE Case 2 Workshop Petra Lewis MD Professor of Radiology and OBGYN

Radiological Category: Case Report Submitted by:Matthew Bean MSIV Faculty reviewer:Sandra Oldham M.D Date accepted: August 28, 2014 Principal Modality.

Garrett Waagmeester 4/25/2014.  Total pleural fluid volume: mL/kg  Fluid produced by systemic vessels of the parietal pleura, primarily less.

Matthew Kilmurry, M.D. St. Mary’s General Hospital Grand River Hospital.

Metastatic involvement (M) M0 - No metastases M1 - Metastases present.

Clinical Cases.

Anterior Trans cervicothoracic approach for complete resection of cervicothoracic mediastinal tumors Dr. R. Bagheri Thoracic surgeon-Assistant professor.

Management of Solitary Pulmonary Nodule Marvin D. Peyton, M.D. Thoracic and Cardiovascular Surgery University of Oklahoma Health Sciences Center.

DIFFUSE MALIGNANT MESOTHELIOMA GENERAL THORACIC SURGERY CHAPTER 65.

A Survey of Quality of Life Following Surgery for Malignant Pleural Mesothelioma: Reflects the patients’ commitment to Learning about the Disease D A Raffle,

Mesothelioma Livi Eitzman. What is it? Mesothelioma is lung cancer. The cavities within the body encompassing the chest, abdomen, and heart are surround.

Mesothelioma. Is a malignant tumour of pleura, usually resulting from asbestos exposure. Asbestos is the major single cause and there is a history of.

Asbestos Exposure Frans Naude.

Chapter 28 Lung Cancer. Mosby items and derived items © 2009 by Mosby, Inc., an affiliate of Elsevier Inc. 2 Objectives  Describe the epidemiology of.

BTS statement on malignant mesothelioma in the UK, 2007 Thorax 2007 Presentation: R3 黃志宇.

بسم الله الرحمن الرحیم با سلام.

Malignant Pleural Effusion (M.P.E.)

THORACIC CLUB MEETING AHMADU BELLO UNIVERSITY TEACHING HOSPITAL,ZARIA,NIGERIA PLEURAL TUMORS.

THE MEDIASTINUM  Anatomy  Boundaries  Divisions  Traditional  Clinical  Access: Mediastenoscopy, mediastenotomy  Mediastinal mass lesions  Anterior.

The Pleura. A mesothelial surface lining the lungs and mediastinum Mesothelial cells designed for fluid absorption Hallmark of disease is the effusion.

Computed Tomography II

BRONCHOIAL TUMOURS.

Case of the Month 6 December 2015

History : 67 year old male, non smoker, presents with over a month history of fevers, chills, anorexia and malaise despite antibiotic treatment for presumptive.

MEDICAL THORACOSCOPY IN THE DIAGNOSIS OF PLEURAL DISEASE “ …a minimum invasive technique which allows the examination of the pleural space in a spontaneously.

MGR REVIEW Malignant Pleural Mesothelioma Depart. Of Pulmonology R3 백승숙.

Background: Malignant pleural mesothelioma (MPM) is a rare and aggressive tumor with a complex growth pattern. Imaging plays a crucial role in diagnosis.

Evaluation of renal masses

History: 58 year-old male with 6 months of progressive breathlessness Case of the Month 10 April 2016.

CASE 1: Management of metastatic disease in a resource-limited setting

The Uganda Cancer Institute Experience Walusansa Victoria.

Advanced loco regional Regional breast cancer

CT and PET imaging in non-small cell lung cancer

Fig year-old man presented with 4-day history of febrile sensation. A

Case of the Month 19 January 2017

Case of the Month 25 July 2017 History:

Keith E. Kelly, MD and William H. Culbertson, MD

MRI as an Alternative to CT-Guided Biopsy of Adrenal Masses in Patients With Lung Cancer Lawrence H Schwartz, Michelle S Ginsberg, Michael E Burt, Karen.

Screening for Malignant Pleural Mesothelioma and Lung Cancer in Individuals with a History of Asbestos Exposure Heidi C. Roberts, MD, Demetris A. Patsios,

FDG PET-CT Aids in the Preoperative Assessment of Patients with Newly Diagnosed Thymic Epithelial Malignancies Marcelo F.K. Benveniste, MD, Cesar A.

THE FIRST STEP IN EVALUATING THE RESULTS OF ENDOSCOPIC PLEURAL HOSES IN THE DIAGNOSIS OF DISEASE IN TUBERCULOSIS and LUNG DISEASE HOSPITAL in HAI PHONG.

Chest radiograph of a patient with mesothelioma and indwelling pleural catheter (IPC) for palliation of right pleural effusion. Chest radiograph of a patient.

Brett W. Carter, MD, Meinoshin Okumura, MD, Frank C

Spontaneous regression of malignant pleural mesothelioma: A case report Jacques Raphael, Michelle Lui, Laura Jimenez-Juan, Suneil Khanna, Sunil Verma

A Woman in Her 30s With a History of Cervical Cancer Presents With Shortness of Breath and Pleuritic Chest Pain Jing Gennie Wang, MD, Patrick Gerard.

Symptomatic accessory cardiac bronchus

Positron Emission Tomography in Lung Cancer

سوال 1 دکتر ارج سوال 2 دکتر سلیمانی سوال 3 دکتر مظفری

CT images of a patient with mesothelioma who developed catheter tract metastasis around his indwelling pleural catheter (IPC), which was in place for 5 months.

(A) Chest radiograph showing previous left mastectomy and left upper lobe and lingular infiltrates due to airway bleeding. (A) Chest radiograph showing.

An Elderly Man With Dyspnea and Chest Pain

Role of Integrated 18-Fluorodeoxyglucose Position Emission Tomography-Computed Tomography in Patients Surveillance after Multimodality Therapy of Malignant.

Volume 149, Issue 6, Pages e191-e194 (June 2016)

Importance of mediastinoscopy, bilateral thoracoscopy, and laparoscopy in correct staging of malignant mesothelioma before extrapleural pneumonectomy

MRI as an Alternative to CT-Guided Biopsy of Adrenal Masses in Patients With Lung Cancer Lawrence H Schwartz, Michelle S Ginsberg, Michael E Burt, Karen.

Imaging the unilateral effusion CXR and CT

Asbestos Related Diseases

Screening for Malignant Pleural Mesothelioma and Lung Cancer in Individuals with a History of Asbestos Exposure Heidi C. Roberts, MD, Demetris A. Patsios,

Study algorithm for SIMPLE study

Follow-up contrast-enhanced computed tomography (CT) of the neck and chest; case two, 1 month following hospital discharge. a) Axial CT image of the neck.

A, The posterior-anterior view of the chest radiograph demonstrating the large right-sided pleural effusion with consolidation in the right lung base.

Medical thoracoscopy. a) Example of procedural room set-up for rigid thoracoscopy. b) Normal parietal pleura with clearly defined anatomy. c) Pleural plaque.

Partial pericardial defect associated with ruptured aortic dissection of the ascending aorta: a rare feature presenting severe left hemothorax without.

A 37-Year-Old Man With Pleuritic Chest Pain

Volume 153, Issue 6, Pages e123-e128 (June 2018)

Presentation transcript:

Case of the Month 26 August 2017 History: 60 year old man with cough, pleuritic chest pain and low grade pyrexia

Case of the Month 26

Case of the Month 26 What is your diagnosis ?

Case of the Month 26 August 2017 History: 60 year old man with cough, pleuritic chest pain and low grade pyrexia Question: What are the key findings on the CXR? Authors: DJ Murphy, JD Dodd, St Vincent’s University Hospital, Dublin, Ireland

Case of the Month 26 Large right sided pleural effusion

Case of the Month 26 Question: What are the key findings on CT?

Case of the Month 26 Asymmetric right-sided mediastinal pleural thickening (arrow) Anterior to the anterior cortex of the vertebral bodies Large right sided pleural effusion

Case of the Month 26 What is your differential diagnosis?

Malignant mesothelioma Case of the Month 26 Diagnosis Differential Diagnosis Pleural malignancy TB pleuritis Diagnosis Pleural Malignancy Typically either: Malignant mesothelioma Pleural metastasis

Discussion Case of the Month 26 Key features that help distinguish malignant from benign pleural disease: Circumferential pleural thickening Nodular pleural thickening Pleural thickening >1cm Mediastinal pleural involvement Cannot reliably distinguish pleural metastases from malignant mesothelioma Requires VATS biopsy for definite diagnosis of mesothelioma, core biopsy is not sufficient Not accurate if previous thoracic or cardiac surgery

Further Reading Case of the Month 26 Pleural Malignancy Leung AN, Muller NL, Muller RR (1990). CT in the differential diagnosis of diffuse pleural disease. AJR 154: 487-492. Nickell LT, Lichtenberger JP, Khorashadi L et al (2014). Multimodality imaging for the chracterisation, classification and staging of malignant pleural mesothelioma. Radiographics 34:6, 1692-1706. Halifax RJ, Haris M, Corcoran J et al (2014). Role of CT in assessing pleural malignancy prior to thoracoscopy. Thorax doi:10.1136/thoraxjnl2014-206054. Porcel JM, Pardina M, Biesla S et al (2015). Derivation and validation of a CT scan scoring system for discriminating malignant from benign pleural effusions. Chest 147(2):513-519.