CT EVALUATION OF MEDIASTINAL MASSES: A STUDY OF 80 CASES

Authors

  • Ishtiaq Ahmed
  • Ahsen Farooq
  • Tahir Naeem
  • Tariq Jaffar
  • Atiq -ur- Rehman

Abstract

Eighty patients with mediastinal masses were imaged with computed tomography (CT). Results were analyzed with regard to the ability of CT to demonstrate the masses, their location, their morphology, and their encroachment upon or displacement of adjacent mediastinal structures. CT images were compared with plain chest radiographs which were available in all cases. CT depicted all lesions successfully with good anatomic detail. Among the 80patients the largest number of cases (n =51) were found to be having lymphadenopathy with Hodgkin's lymphoma in 57% and non-Hodgkin's lymphoma in J5% of cases. CT is regarded as the best single radiological investigation for evaluating a mediastinal abnormality demonstrated on a high-kV chest radiograph or for detecting occult mediastinal disease.

References

1 Sutton D.(Ed). A textbook of Radiology and

Imaging. Churchill Livingstone (fifth edition), 1993;

pp 337-64.

Merten DF. Diagnostic imaging of mediastinal

masses in children. AJR; 1992 Apr; 158: 825-32.

Kewaskum A, Fishman EX, Kuhlman JE, & Nixon

MS. CT of posterior mediastinal masses. Abstract

radiographic; 1991 Nov; 11(6): 1045- 67.

Heitzman ER. Computed tomography of the thorax.

Current perspectives. AJR, 1981; 136: 2.

Williams PE. Warwick R, Dyson M & Bannister HL

(eds) Grays Anatomy. Churchill Livingstone. 1989;

-72.

Chapman S & Nakieley R. Aids to radiological

differential diagnosis. Bailliere Tindall. 2nd Edition,

; 138-46.

Brown ER & Anghenbaugh GE. Masses of the

anterior mediastinum CT and MR1 imaging; AJR,

DRC; 157(6): 1 171-80.

Slonecker CE & Basmajian JV (eds) Grants Method

of Anatomy, A clinical problem solving approach.

William's Wilkins. 1989, p. 106.

Murray JG & Breatnache. Imaging of the mediastinum

and hila (Abstract) Curr. Opin. Radiol.

Oct: 4: 44-52.

Lee JKT. Sagel SS & Stanely R.J (Ed). Computed

body tomography with MRI correlation. Raven Press.

New York, Second edition, 1989: pp 245- 94

Barohj RE, Levitt RG & Sagel SS et al. Computed

tomography in the evaluation of mediastinal

widening: Radiology; 1981,13: 107-11.

Mendez G, Isikoff MB & Isikoff SK, et al. Fatty'

tumours of the thorax demonstrated by CT: AJR.

; 133: 207-12.

Pugatch RD, Braver JH & Robbins Al 1, et al. CT

diagnosis pericardial cysts. AJR, 1987, 131; 515- 76.

Marvasti MA, Mitchell GE & Burke WA, et al.

Misleading density of mediastinal cysts on computed

topography. Ami Thorax Surg; 1981; 31: 167-70.

Federal MP & Callen PW. Cystic Hodgkins

lymphoma of the thymus: computed tomographic

appearance. J Comput Assist Tomogr, 1979; 542- 44.

Goldwin RL, Heitzman ER & Fproto AV. Computed

tomography of the mediastinum. Radiology, 1977;

: 204-214.

Fink I, Gamsu G & Harter EP. CT guided aspiration

biopsy' of the thorax. J comput Assist Tomogr.

,6: 958-62.

Schnyder PA & Gamsu G. CT of the pretracheal

retrocaval space. AJR, 1981, 136: 303-308.

Baran RL., Levitt RG & Sagel SS, et al. Computed

tomography in the preoperative evaluation of

bronchogenic carcinoma. Radiology, 1982, 145: 727-

Baron RE, Loe JKT & Sagel SS et al. Computed

tomography of the normal thymus. Radiology, 1982,

: 121-125.

Wyehulis AR, Payne WS & Clagett OT. et al.

Surgical treatment of mediastinal tumours. J.

Cardiovasc. Surg., 1971, 69, 379,-91

Issue

Vol. 8 No. 2 (1996): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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