Incidental extravascular findings in computed tomographic angiography for planning or monitoring endovascular aortic aneurysm repair: Smoker patients, increased lung cancer prevalence?

Maria Antonietta Mazzei; Susanna Guerrini; Francesco Gentili; Giuseppe Galzerano; Francesco Setacci; Domenico Benevento; Francesco Giuseppe Mazzei; Luca Volterrani; Carlo Setacci

首页> 中文期刊> 《世界放射学杂志：英文版（电子版）》 >Incidental extravascular findings in computed tomographic angiography for planning or monitoring endovascular aortic aneurysm repair: Smoker patients, increased lung cancer prevalence?

Incidental extravascular findings in computed tomographic angiography for planning or monitoring endovascular aortic aneurysm repair: Smoker patients, increased lung cancer prevalence?

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AIM To validate the feasibility of high resolution computed tomography(HRCT) of the lung prior to computed tomography angiography(CTA) in assessing incidental thoracic findings during endovascular aortic aneurysm repair(EVAR) planning or follow-up.METHODS We conducted a retrospective study among 181 patients(143 men, mean age 71 years, range 50-94) referred to our centre for CTA EVAR planning or followup. HRCT and CTA were performed before or after 1 or 12 mo respectively to EVAR in all patients. All HRCT examinations were reviewed by two radiologists with 15 and 8 years experience in thoracic imaging. The results were compared with histology, bronchoscopy or follow-up HRCT in 12, 8 and 82 nodules respectively. RESULTS There were a total of 102 suspected nodules in 92 HRCT examinations, with a mean of 1.79 nodules per patient and an average diameter of 9.2 mm(range 4-56 mm). Eightynine out of 181 HRCTs resulted negative for the presence of suspected nodules with a mean smoking history of 10 pack-years(p-y, range 5-18 p-y). Eighty-two out of 102(76.4%) of the nodules met criteria for computed tomography follow-up, to exclude the malignant evolution. Of the remaining 20 nodules, 10 out of 20(50%) nodules, suspected for malignancy, underwent biopsy and then surgical intervention that confirmed the neoplastic nature: 4(20%) adenocarcinomas, 4(20%) squamous cell carcinomas, 1(5%) small cell lung cancer and 1(5%) breast cancer metastasis); 8 out of 20(40%) underwent bronchoscopy(8 pneumonia) and 2 out of 20(10%) underwent biopsy with the diagnosis of sarcoidosis.CONCLUSION HRCT in EVAR planning and follow-up allows to correctly identify patients requiring additional treatments, especially in case of lung cancer.

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《世界放射学杂志：英文版（电子版）》 |2017年第7期|304-311|共8页
作者
Maria Antonietta Mazzei; Susanna Guerrini; Francesco Gentili; Giuseppe Galzerano; Francesco Setacci; Domenico Benevento; Francesco Giuseppe Mazzei; Luca Volterrani; Carlo Setacci;
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作者单位

Department of Medical;

Surgical and Neuro Sciences;

Diagnostic Imaging;

University of Siena;

Azienda Ospedaliera Universitaria Senese;

Department of Medical;

Surgical and Neuro Sciences;

Vascular and Endovascular Unit;

University of Siena;

Azienda Ospedaliera Universitaria Senese;

Vascular and Endovascular Unit;

Azienda Ospedaliera Universitaria Senese;

Diagnostic Imaging;

Azienda Ospedaliera Universitaria Senese;

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原文格式 PDF
正文语种 chi
中图分类肺疾病;放射线、同位素诊断;肺肿瘤;
关键词
Computed tomography angiography; Aorta; Endovascular aortic aneurysm repair; Cigarette smoking; Lung cancer;

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Incidental extravascular findings in computed tomographic angiography for planning or monitoring endovascular aortic aneurysm repair: Smoker patients, increased lung cancer prevalence?

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