Role of multislice CT in diagnosis, staging and evaluation of malignant pleural mesothelioma /
دور الأشعة المقطعية متعددة المقاطع في تشخيص و تصنيف مراحل و تقييم ورم المتوسطة الخبيث بالغشاء البلوري
Hend Mohamed Mostafa Hamed ; Supervised Youssriah Yahia Sabri , Hebatalla Hassan Nashat Mohamed Elkassas , Yasmine Hamdy Elhinnawy
- Cairo : Hend Mohamed Mostafa Hamed , 2017
- 105 P. : charts , facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Radio-diagnosis
The right pleura was more commonly affected than the left with the circumferential pattern of the disease being much more evident than the focal type. The commonest findings on CT besides the pleural thickening were pleural effusion, fissural extension and endothoracic fascia involvement. Most cases showed decreased volume of the affected hemithorax. Involvement of the lung tissue whether hematogenous or lymphangitic spread was easily attainable. More than 50% of cases showed pericardial affection. Direct chest wall involvement was also a common finding unlike hematogeneous bone metastases. CT was acceptable when it came to assessing chest wall affection unlike disphargamtic and transdiaphragmatic involvement which was suspected in and couldnt be determined in 31% of cases. CT study of the chest for cases of MPM was able to evaluate and diagnose the disease, with most of the important staging items being easily seen on CT yet this study also showed the limitations of CT in the staging MPM since CT alone was not able to prove the involvement of the chest wall, diaphragmatic muscle and transdiaphragmatic extension. As well as the mediastinal lymph nodes, since their presence and size alone isnt an indication for their involvement in the disease