The usefulness of thoracic ultrasonography in diagnosis and staging of bronchogenic carcinoma

Hafez, Manal R.; Sobh, Eman; Elsawy, Sawsan B; Abo-Elkheir, Omaima I.

doi:10.1177/1742271x17721264

Cited by 17 publications

(16 citation statements)

References 43 publications

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“…2 Another smaller study of 54 patients reported there was no significant difference in identifying chest wall invasion with ultrasound detecting changes in 20.8% patients whereas CT detected this in 11.3% patients. 8 Ultrasound in this case could not identify the mediastinal lymphadenopathy, and the full staging and assessment of lung cancers should be made with CT. When scanning soft tissue masses, it is important to not only assess the soft tissues but also assess bony structures.…”

Section: Discussionmentioning

confidence: 79%

Primary lung tumour invading the chest wall

Charnock

2021

Ultrasound

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Introduction This case study describes a primary lung tumour invading the chest wall, that clinically was thought likely to be a lipoma, and was imaged first using ultrasound. Case Report A 67 year old male presented to his GP with a six month history of a lump increasing in size on the left upper chest wall. The ultrasound scan demonstrated a hypoechoic and hypervascular soft tissue mass, extending out of the chest into the subcutaneous tissue and starting to erode the overlying rib. The appearances were highly suspicious for a chest malignancy. Further imaging and an ultrasound guided biopsy confirmed the diagnosis of a squamous cell carcinoma. Discussion The majority of patients who present to their general practitioner with a soft tissue mass commonly have benign abnormalities such as a lipoma or epidermoid cyst. Tumours of the chest wall are varied and are divided into benign and malignant tumours, and those that arise from the rib cage. Primary lung tumours are uncommonly seen on ultrasound. Lung cancers account for around 20% of all cancer deaths and the chest wall is involved in around 5% of primary lung tumours. Conclusion This case highlights the need for prompt investigation of enlarging superficial masses. Ultrasound imaging offers excellent detail for superficial structures and in this case, due to the location of the mass, identified a primary lung tumour.

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Section: Discussionmentioning

confidence: 79%

Primary lung tumour invading the chest wall

Charnock

2021

Ultrasound

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“…Thus, a necrotic tumor/cystic part of a tumor can be avoided and chances of rebiopsy can be minimized. 9 Newer advances in ultrasound like CEUS can help in better microvascular assessment and help in differentiating tumor showing heterogeneous enhancement with early washout from atelectasis which shows uniform marked and sustained enhancement. Infarct appears as non-enhancing tissue.…”

Section: Discussionmentioning

confidence: 99%

“…This can help the radiologist with a better idea of what should be the best site to biopsy. Thus, a necrotic tumor/cystic part of a tumor can be avoided and chances of re‐biopsy can be minimized 9 …”

Section: Discussionmentioning

confidence: 99%

Ultrasonography in the Evaluation of Pediatric Chest “Masses”: When to Consider?

Jain

Jana

Gupta

et al. 2021

J of Ultrasound Medicine

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Thoracic ultrasound is radiation‐free, easily available, portable modality with added advantage of real‐time assessment. It is useful in mediastinal lesions and peripheral lung, pleural and chest wall masses. Not only is it a valuable modality in differentiating solid from cystic lesion, it can also depict internal architecture without the use of contrast material. The added advantages of its use in children are the lack of ionizing radiation, and no need for sedation or general anesthesia in most cases. Although it has its limitations with a longer learning curve, it can act as a second‐line modality to chest radiograph and adjunctive modality to CT in cases of a thoracic mass in a child.

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“…Over the last 10 years, several papers have confirmed the usefulness of LUS in specific settings . In particular, the accuracy of LUS is at least not inferior to CXR in the diagnosis and monitoring of pneumothorax (PTX), pleural effusion, interstitial syndrome (IS) and community‐acquired pneumonia (CAP) .…”

Section: Introductionmentioning

confidence: 99%

Relevance of lung ultrasound in the diagnostic algorithm of respiratory diseases in a real‐life setting: A multicentre prospective study

et al. 2019

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Background and objective: The aim of this study was to assess the role of lung ultrasound (LUS) in a diagnostic algorithm of respiratory diseases, and to establish the accuracy of LUS compared with chest radiography (CXR). Methods: Over a period of 2 years, 509 consecutive patients admitted for respiratory-related symptoms to both emergency and general medicine wards were enrolled and evaluated using LUS and CXR. LUS was conducted by expert operators who were blinded to the medical history and laboratory data. Computed tomography (CT) of the chest was performed in case of discordance between the CXR and LUS, suspected lung cancer and an inconclusive diagnosis. Diagnosis made by CT was considered the gold standard. Results: The difference in sensitivity and specificity between LUS and CXR as demonstrated by ROC curve analyses (LUS-AUROC: 0.853; specificity: 81.6%; sensitivity: 93.9% vs CXR-AUROC: 0.763; specificity: 57.4%; sensitivity: 96.3%) was significant (P = 0.001). Final diagnosis included 240 cases (47.2%) of pneumonia, 44 patients with cancer (8.6%), 20 patients with chronic obstructive pulmonary disease (COPD, 3.9%), 24 patients with heart failure (4.7%) and others (6.1%). In 108 patients (21.2%) with any lung pathology, a CT scan was performed with a positive diagnosis in 96 cases (88.9%); we found that CXR and LUS detected no abnormality in 24 (25%) and 5 (5.2%) cases, respectively. LUS was concordant with the final diagnosis (P < 0.0001), and in healthy patients, there was a low percentage of false positives (5.9%). Conclusion:The results support the routine use of LUS in the clinical context. SUMMARY AT A GLANCELung ultrasound (LUS) provided a useful diagnostic workup of respiratory disease, either by directly identifying pathological findings or by detecting indirect signs of illness, as in lung cancer. Overall, LUS was not inferior to chest radiography and routine use in medical wards or in emergency department settings is beneficial. Respirology (2020) 25, 535-542 536 L Rinaldi et al. † EPA, pleural effusion, tuberculosis, fibrosis/restrictive syndrome and PTX. COPD, chronic obstructive pulmonary disease; EPA, acute pulmonary embolism; LUS, lung ultrasound; PTX, pneumothorax.Respirology (2020) 25, 535-542

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The usefulness of thoracic ultrasonography in diagnosis and staging of bronchogenic carcinoma

Cited by 17 publications

References 43 publications

Primary lung tumour invading the chest wall

Primary lung tumour invading the chest wall

Ultrasonography in the Evaluation of Pediatric Chest “Masses”: When to Consider?

Relevance of lung ultrasound in the diagnostic algorithm of respiratory diseases in a real‐life setting: A multicentre prospective study

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