Solitary pulmonary metastases in high-risk melanoma patients: a prospective comparison of conventional and computed tomography
| Autor: | D K Heaston, Melvyn Korobkin, Carl E. Ravin, Evelyn Nicholson, Bruce A. Rodan, James T. T. Chen, Hilliard F. Seigler, Charles E. Putman |
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| Rok vydání: | 1983 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Lung Neoplasms Skin Neoplasms medicine.medical_treatment Radiography Computed tomography Metastasis medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Lung Melanoma Aged Chemotherapy medicine.diagnostic_test Tomography X-Ray business.industry Level iv General Medicine Middle Aged medicine.disease Female Tomography Radiology Tomography X-Ray Computed business |
| Zdroj: | American Journal of Roentgenology. 141:169-174 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.141.1.169 |
| Popis: | A prospective comparison of chest radiography, conventional tomography, and computed tomography (CT) in the detection or confirmation of solitary pulmonary nodules was made in 42 patients with high propensity for pulmonary metastases due to advanced local (Clark level IV or V) or regional malignant melanoma. Unequivocal nodules were revealed by chest radiography in 11 patients, conventional tomography in 16, and computed tomography in 20 patients. Both plain films and tomography in three of these 20 were normal, but follow-up verified pulmonary metastases. Computed tomography detected more pulmonary nodules than conventional tomography in 11 patients in addition to identifying lesions in extrapulmonary sites. Therefore, chest CT is recommended before institution of immunotherapy or surgical removal of a solitary pulmonary melanoma metastasis. Once chemotherapy had been instituted for bulky regional or cutaneous involvement, however, the findings of either conventional or computed tomography were comparable in this study. |
| Databáze: | OpenAIRE |
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