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Bae JY, Kim Y, Kang HJ, Kwon H, Shim SS. Imaging Features of Various Benign and Malignant Tumors and Tumorlike Conditions of the Pleura: A Pictorial Review. JOURNAL OF THE KOREAN SOCIETY OF RADIOLOGY 2020; 81:1109-1120. [PMID: 36238033 PMCID: PMC9431864 DOI: 10.3348/jksr.2019.0165] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 11/12/2019] [Accepted: 11/21/2019] [Indexed: 11/15/2022]
Abstract
Pleural masses may be caused by various conditions, including benign and malignant neoplasms and non-neoplastic tumorlike conditions. Primary pleural neoplasms include solitary fibrous tumor, malignant mesothelioma, and primary pleural non-Hodgkin's lymphoma. Metastatic disease is the most common neoplasm of the pleura and may uncommonly occur in patients with hematologic malignancy, including lymphoma, leukemia, and multiple myeloma. Pleural effusion is usually associated with pleural malignancy. Rarely, pleural malignancy may arise from chronic empyema, and the most common cell type is non-Hodgkin's lymphoma (pyothorax-associated lymphoma). Non-neoplastic pleural masses may be observed in several benign conditions, including tuberculosis, pleural plaques caused by asbestos exposure, and pleural loose body. Herein, we present a review of benign and malignant pleural neoplasms and tumorlike conditions with illustrations of their computed tomographic images.
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Affiliation(s)
- June Young Bae
- Department of Radiology, Ewha Womans University, College of Medicine, Seoul, Korea
| | - Yookyung Kim
- Department of Radiology, Ewha Womans University, College of Medicine, Seoul, Korea
| | - Hyun Ji Kang
- Department of Radiology, Ewha Womans University, College of Medicine, Seoul, Korea
| | - Hyeyoung Kwon
- Department of Radiology, Ewha Womans University, College of Medicine, Seoul, Korea
| | - Sung Shine Shim
- Department of Radiology, Ewha Womans University, College of Medicine, Seoul, Korea
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Santamarina MG, Beddings I, Lermanda Holmgren GV, Opazo Sanchez H, Volpacchio MM. Multidetector CT for Evaluation of the Extrapleural Space. Radiographics 2017; 37:1352-1370. [DOI: 10.1148/rg.2017160180] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Mario G. Santamarina
- From the Department of Radiology, Hospital Naval Almirante Nef, Subida Alessandri S/N, Viña del Mar 2520000, Chile (M.G.S., G.V.L.H.); Departments of Radiology (M.G.S.) and Pathology (H.O.S.), Hospital Dr Eduardo Pereira, Valparaíso, Chile; Department of Radiology, Pontificia Universidad Católica de Chile, Santiago, Chile (I.B.); Department of Pathology, Universidad Andrés Bello, Viña del Mar, Chile (H.O.S.)
| | - Ignacio Beddings
- From the Department of Radiology, Hospital Naval Almirante Nef, Subida Alessandri S/N, Viña del Mar 2520000, Chile (M.G.S., G.V.L.H.); Departments of Radiology (M.G.S.) and Pathology (H.O.S.), Hospital Dr Eduardo Pereira, Valparaíso, Chile; Department of Radiology, Pontificia Universidad Católica de Chile, Santiago, Chile (I.B.); Department of Pathology, Universidad Andrés Bello, Viña del Mar, Chile (H.O.S.)
| | - Guillermo V. Lermanda Holmgren
- From the Department of Radiology, Hospital Naval Almirante Nef, Subida Alessandri S/N, Viña del Mar 2520000, Chile (M.G.S., G.V.L.H.); Departments of Radiology (M.G.S.) and Pathology (H.O.S.), Hospital Dr Eduardo Pereira, Valparaíso, Chile; Department of Radiology, Pontificia Universidad Católica de Chile, Santiago, Chile (I.B.); Department of Pathology, Universidad Andrés Bello, Viña del Mar, Chile (H.O.S.)
| | - Hector Opazo Sanchez
- From the Department of Radiology, Hospital Naval Almirante Nef, Subida Alessandri S/N, Viña del Mar 2520000, Chile (M.G.S., G.V.L.H.); Departments of Radiology (M.G.S.) and Pathology (H.O.S.), Hospital Dr Eduardo Pereira, Valparaíso, Chile; Department of Radiology, Pontificia Universidad Católica de Chile, Santiago, Chile (I.B.); Department of Pathology, Universidad Andrés Bello, Viña del Mar, Chile (H.O.S.)
| | - Mariano M. Volpacchio
- From the Department of Radiology, Hospital Naval Almirante Nef, Subida Alessandri S/N, Viña del Mar 2520000, Chile (M.G.S., G.V.L.H.); Departments of Radiology (M.G.S.) and Pathology (H.O.S.), Hospital Dr Eduardo Pereira, Valparaíso, Chile; Department of Radiology, Pontificia Universidad Católica de Chile, Santiago, Chile (I.B.); Department of Pathology, Universidad Andrés Bello, Viña del Mar, Chile (H.O.S.)
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Kwon JS, Cha SI, Jeon KN, Kim YJ, Kim EJ, Kim CH, Park JY, Jung TH. Factors influencing residual pleural opacity in tuberculous pleural effusion. J Korean Med Sci 2008; 23:616-20. [PMID: 18756047 PMCID: PMC2526418 DOI: 10.3346/jkms.2008.23.4.616] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Tuberculous pleural effusion (TPE) leads to residual pleural opacity (RPO) in a significant proportion of cases. The aim of this study was to investigate which TPE patients would have RPO following the treatment. This study was performed prospectively for a total of 60 TPE patients, who underwent pleural fluid analysis on the initial visit and chest radiographs and computed tomography (CT) scans before and after the administration of antituberculous medication. At the end of antituberculous medication, the incidence of RPO was 68.3% (41/60) on CT with a range of 2-50 mm. Compared with the non-RPO group, the RPO group had a longer symptom duration and lower pleural fluid glucose level. On initial CT, loculation, extrapleural fat proliferation, increased attenuation of extrapleural fat, and pleura-adjacent atelectasis were more frequent, and parietal pleura was thicker in the RPO group compared with the non-RPO group. By multivariate analysis, extrapleural fat proliferation, loculated effusion, and symptom duration were found to be predictors of RPO in TPE. In conclusion, RPO in TPE may be predicted by the clinico-radiologic parameters related to the chronicity of the effusion, such as symptom duration and extrapleural fat proliferation and loculated effusion on CT.
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Affiliation(s)
- Jee-Sook Kwon
- Department of Internal Medicine and Respiratory Center, Kyungpook National University School of Medicine, Daegu, Korea
| | - Seung-Ick Cha
- Department of Internal Medicine and Respiratory Center, Kyungpook National University School of Medicine, Daegu, Korea
| | - Kyung-Nyeo Jeon
- Department of Radiology, Gyeongsang National University School of Medicine, Jinju, Korea
| | - Young-Joo Kim
- Department of Internal Medicine and Respiratory Center, Kyungpook National University School of Medicine, Daegu, Korea
| | - Eun-Jin Kim
- Department of Internal Medicine and Respiratory Center, Kyungpook National University School of Medicine, Daegu, Korea
| | - Chang-Ho Kim
- Department of Internal Medicine and Respiratory Center, Kyungpook National University School of Medicine, Daegu, Korea
| | - Jae-Yong Park
- Department of Internal Medicine and Respiratory Center, Kyungpook National University School of Medicine, Daegu, Korea
| | - Tae-Hoon Jung
- Department of Internal Medicine and Respiratory Center, Kyungpook National University School of Medicine, Daegu, Korea
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Kim DJ, Im JG, Goo JM, Lee HJ, You SY, Song JW. Chronic tuberculous empyema: relationships between preoperative CT findings and postoperative improvement measured by pulmonary function testing. Clin Radiol 2005; 60:503-7. [PMID: 15767108 DOI: 10.1016/j.crad.2004.09.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2004] [Revised: 09/11/2004] [Accepted: 09/13/2004] [Indexed: 10/25/2022]
Abstract
AIMS To evaluate whether preoperative computed tomography (CT) findings correlate with postoperative improvements in forced vital capacity (FVC) and forced expiratory volume during 1s (FEV1) in persons who have undergone unilateral decortication because of unilateral chronic tuberculous empyema. METHODS A retrospective study was carried out of 67 individuals who had undergone decortication because of chronic tuberculous empyema between January 1996 and December 2000. Of these, 13 subjects who had had preoperative chest CT and preoperative and postoperative pulmonary function tests (PFTs) were included in the investigation. On preoperative CT, the degree of volume reduction of the affected side was compared with that of the contralateral normal lung. The relative volume of empyema was calculated by dividing the volume occupied by the empyema by the sum of the total volume of the ipsilateral lung and the empyema volume. The thicknesses of pleura and extrapleural fat in the involved hemithorax were measured by CT at their thickest points, and the degree of atelectasis adjacent to the empyema in the diseased lung was assessed and classified. These five CT parameters and the ages of the patients were compared with preoperative and postoperative FVC and FEV1 changes. RESULTS A significant negative correlation was found between FVC changes and the relative volume of the affected lung (FVC: p = 0.039, RS = -0.58). FVC and FEV1 were found to be significantly and positively correlated with the relative volume of the empyema (FVC: p = 0.005, RS = 0.72; FEV1: p = 0.014, RS = 0.66) and the degree of atelectasis (FVC: p = 0.007, RS = 0.71; FEV1: p = 0.029, RS = 0.60) by Spearman's nonparametric correlation test. Other CT parameters and the ages of the patients were not found to be correlated with PFT changes. CONCLUSION The relative volume of the affected side, the relative volume of empyema and the degree of atelectasis can predict improvements in FVC and FEV1 after decortication in patients with chronic tuberculous empyema.
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Affiliation(s)
- D J Kim
- Department of Radiology, Seoul National University Collage of Medicine and the Institute of Radiation Medicine, SNUMRC, 28, Yongon-dong, Chongno-gu, Seoul 110-744, South Korea
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