Restaging the Primary Tumor. Cameron Wright, MD Thoracic Surgery MGH 2012 Focus on Thoracic Surgery: Lung Cancer. Disclosures. None. CT Characteristics of Locally Advanced Disease. Pleural effusion and nodularity-suggestive of M1a disease- thoracentesis or VATS exploration and biopsy
Restaging the Primary Tumor
Cameron Wright, MD
2012 Focus on Thoracic Surgery: Lung Cancer
Pleural effusion and nodularity-suggestive of M1a disease-thoracentesis or VATS exploration and biopsy
Chest wall invasion-signs of invasion include bone destruction, pleural thickening, loss of extrapleural fat plane, tumor extending into the chest wall and extensive contact between chest wall and tumor. Only bone destruction is 100% accurate.
Mediastinal invasion-invasion of mediastinal fat, extensive contact with the mediastinal pleura (> 3 cm) or aorta (>90 degree ) suggestive of invasion. However unless there is extensive invasion CT is often unreliable.
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