MR Imaging of Superior Sulcus Carcinoma

McLoud, Theresa C.; Filion, R; Edelman, Robert R.; Shepard, Jo-Anne O.

doi:10.1097/00004728-198903000-00008

Cited by 56 publications

(9 citation statements)

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“…MRI currently plays a very limited role in the assessment of p~ilmonary and pleural diseases, although it seems to be the imaging of choice in the evaluation of superior sulcus carcinoma (21,22) and may provide an effective noninvasive means for the initial characterization and serial follow-up of such pleural fluid collections as transudate, exudate, or complex (23). The high signal intensity of lipids in TI-weighted sequences allows the identification of chylothorax (15).…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance appearance of asbestos-related benign and malignant pleural diseases

Boraschi¹,

Neri²,

Braccini³

et al. 1999

Scand J Work Environ Health

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Section: Discussionmentioning

confidence: 99%

Magnetic resonance appearance of asbestos-related benign and malignant pleural diseases

Boraschi¹,

Neri²,

Braccini³

et al. 1999

Scand J Work Environ Health

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“…Both LIBSHITZ and MCKENNA [105] and MCLOUD et al [108] observed an increase in false-positive nodes in patients with obstructive pneumonia. MCLOUD et al [103] also found that 37% of nodes, which were 2-3 cm in diameter, did not contain metastases at thoracotomy. More recently in a study of hila and mediastinal nodes at CT compared to pathological examination, sensitivities and specificities for metastatic involvement were only 48% and 53% with an overall accuracy of 51% [92].…”

Section: Nodal Statusmentioning

confidence: 92%

“…20). In superior sulcus or Pancoast tumours detection of tumour invasion beyond the lung apex into the brachial plexus, subclavian artery or vertebral body by MRI has been found to be 94% accurate as opposed to 63% for CT [102,103], although multislice CT with nonaxial reconstruction Pleural invasion. Effusions in lung cancer patients can be benign, especially with a postobstructive pneumonia or malignant due to pleural metastases, often characterized by pleural nodularity [94].…”

Section: Tumour Statusmentioning

confidence: 99%

Diagnostic imaging of lung cancer

Hollings¹,

Shaw²

2002

Eur Respir J

124

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Carcinoma of the bronchus is the most common malignancy in the Western world. It is also the leading cause of cancer-related death accounting for 32% of all cancer deaths in males and 25% in females [1]. In the USA it causes more deaths than cancers of the colon, breast and prostate combined [2]. Disappointingly, in a recent UK survey of improvements in cancer survival [3], carcinoma of the bronchus showed the smallest percentage reduction in the number of deaths avoided between 1981-1990 (0.2%). This compares badly with breast (11% reduction) and melanoma (32%). The overall 5-yr survival for lung cancer diagnosed between 1986-1990 was only 5.3% (against 66% for breast and 76% for melanoma). It is on this background that the radiologist remains actively employed in the detection, diagnosis, staging and review of this common malignancy.

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“…Evaluation of the patient with a suspected superior sulcus tumor should include both sagittal and coronal imaging (28,29). The interface between the tumor and lung parenchyma is useful in predicting the site of origin.…”

Section: Lung Cancermentioning

confidence: 99%

MR Imaging of Nontraumatic Brachial Plexopathies: Frequency and Spectrum of Findings

Wittenberg¹,

Adkins²

2000

RadioGraphics

131

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Magnetic resonance imaging is the method of choice for evaluating patients with a nontraumatic brachial plexopathy. Although there is a wide range of disease processes that may cause a brachial plexopathy, radiation fibrosis, primary and metastatic lung cancer, and metastatic breast cancer account for almost three-fourths of the causes. Radiation fibrosis, the most common cause in our series, may occur several months to years after the completion of therapy. Findings of radiation fibrosis include (a) thickening and diffuse enhancement of the brachial plexus without a focal mass and (b) soft-tissue changes with low signal intensity on both T1- and T2-weighted images. Lung cancer arising in the lung apex may invade the lower portion of the brachial plexus. Many tumors may metastasize to the brachial plexus, causing a brachial plexopathy. Breast cancer is the most likely to metastasize because major lymphatic drainage routes for the breast course through the apex of the axilla.

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MR Imaging of Superior Sulcus Carcinoma

Cited by 56 publications

References 0 publications

Magnetic resonance appearance of asbestos-related benign and malignant pleural diseases

Magnetic resonance appearance of asbestos-related benign and malignant pleural diseases

Diagnostic imaging of lung cancer

MR Imaging of Nontraumatic Brachial Plexopathies: Frequency and Spectrum of Findings

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