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Published on: May 4, 2022
[Chest computed tomography in the localisation of pathologic processes in lymphomas]
Kosta Petrović1, Viktor Till, Vera Uzurov
1Klinicki centar Vojvodine, Novi Sad Institut za radiologiju. akap@infosky.net
Chest CT scans reveal that intrathoracic Hodgkin lymphoma and Non-Hodgkin lymphoma commonly present as enlarged lymph nodes, particularly in the upper mediastinum. These findings are crucial for disease prognosis and treatment planning.
Area of Science:
- Medical Imaging
- Oncology
- Radiology
Background:
- Accurate anatomic localization of Hodgkin disease (HD) and Non-Hodgkin lymphoma (NHL) is critical for prognosis and therapy.
- Intrathoracic involvement is common in HD, often presenting as lymph node enlargement.
- Mediastinal and hilar lymphadenomegaly are frequent manifestations of thoracic NHL.
Purpose of the Study:
- To analyze chest computed tomography (CT) findings in patients with HD and NHL before therapy.
- To correlate imaging findings with specific lymphoma types and locations.
Main Methods:
- Retrospective analysis of chest CT examinations in 73 patients diagnosed with HD or NHL.
- Focus on pre-therapy CT findings.
Main Results:
- Positive CT findings were observed in 66.66% of HD patients and 45.45% of NHL patients.
- Enlarged lymph nodes in the upper mediastinum (paratracheal, prevascular) were seen in over 55% of HD patients and over 35% of NHL patients.
Conclusions:
- Chest CT findings in this study align with existing world literature.
- Imaging characteristics of intrathoracic lymphomas are important for diagnosis and management.
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