Role of CT imaging to evaluate solitary pulmonary nodule with extrapulmonary neoplasms

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Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
Educational Society for Excellence
Abstract
Background: A solitary pulmonary nodule is defined as a discrete, well - marginated, rounded opacity less than or equal to 3 cm in diameter that is completely surrounded by lung parenchyma, does not touch the hilum or mediastinum, and is not associated with adenopathy, atelectasis or pleural effusion. Aim and objectives: To determine the frequency of single lung metastasis, primary lung cancer and benign lesions in patients with solitary lung nodule and a primary extrapulmonary neoplasm, to evaluate the Chest Radiographs and CT characteristics of solitary lung nodule with a primary extrapulmonary neoplasm, to develop a statistical model to guide clinicians regarding choice of patient for diagnostic biopsy. Materials and methods: A retrospective analysis of CT and Chest Radiographs of 50 patients with an extrapulmonary malignant neoplasm and a solitary pulmonary nodule, done in our Dhiraj General Hospital over a 6 – month period. Results: 50 patients of Extrapulmonary neoplasms were evaluated; out of these patients were diagnosed and evaluated for Primary Bronchogenic Carcinoma, lung metastases, benign nodule. Conclusion: Solitary lung nodule in patients with extrapulmonary malignancies showed a variety of patterns on CT. Nearly half of the non – calcified solitary pulmonary nodules identified in this series were malignant. The likelihood of a spread depends on the histological Anand Vachhani, Shashvat Modia, Varun Garasia, Deepak Bhimani, C. Raychaudhuri. Role of CT imaging to evaluate solitary pulmonary nodule with extrapulmonary neoplasms. IAIM, 2018; 5(8): 86-92. Page 87 characteristics of the extrapulmonary neoplasm and the patient's smoking history. Lung cancer was more common than metastatic disease.
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Keywords
CT imaging, Extrapulmonary neoplasm, Solitary pulmonary nodule
Citation
Vachhani Anand, Modia Shashvat, Garasia Varun, Bhimani Deepak, Raychaudhuri C. . Role of CT imaging to evaluate solitary pulmonary nodule with extrapulmonary neoplasms. International Archives of Integrated Medicine. 2018 Aug; 5(8): 93-99