Evaluation of Thymic Lesions using Multidetector Row Computed Tomography and Correlation with Histopathopathological Diagnosis
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 3
Abstract
Introduction: A variety of lesions are seen involving the thymus and range from hyperplasia to innumerable tumors. Multidetector row Computed Tomography (MDCT) is a promising imaging modality which allows for substantial anatomical volumes to be covered with isotropic submillimeter spatial resolution. Aim of the study was to evaluate MDCT characteristics of thymic lesions proven by histopathology. Materials and methods: a retrospective study of 35 patients in the age group 5-78years was conducted in in the Departments of Radiodiagnosis and Pathology, Vydehi Institue of Medical Sciences and Research Centre, Bangalore between September 2011 and December 2015. Only histologically proved cases were included in the study. The size, characterization, extent, presence of calcification, invasion of the adjacent structures, lymphadenopathy and metastasis of thymic lesions were evaluated. Results: The most common thymic lesion was thymoma accounting for 34.28% of the cases followed by thymic lymphoma accounting for 22.8% of cases. Thymic hyperplasia was seen as diffuse symmetric enlargement of the gland. Thymomas were seen as homogeneous solid masses with soft tissue attenuation and well-demarcated borders. Thymic carcinomas appeared as large, multilobulated masses containing areas of low attenuation and calcification. Thymolipomas predominantly showed fat attenuation intermixed with soft tissue representing normal thymic tissue, Thymic lymphomas present as homogenous enlargement of the thymus with mediastinal or hilar lymphadenopathy. Conclusion: Multidetector row Computed Tomography plays a major role in the evaluation of thymic lesions regarding diagnosis, characterization, distribution and malignancy.
Authors and Affiliations
Madan Mohan Babu L, Niranjan Jayaram, Suresh Aswathappa, Indira Narayanaswamy
Keywords
Related Articles
- EP ID EP426866
- DOI -
- Views 104
- Downloads 0
Effect of Commercially Available Colgate Sugar Acid Neutralizer Toothpaste on Salivary and Plaque ph: a Randomized Controlled Trial
Introduction: Salivary and plaque pH is the important parameter affecting the carious process. The new Colgate sugar acid neutralizer maximum cavity protection toothpaste is a new technology of toothpaste that claims to...
Pediatric Flexible Bronchoscopy Under Conscious Sedation in an Endoscopy Suite – Is It Feasible, Safe and Yielding?: An Observational Study
Introduction: The first description of bronchoscopy in pediatric practice was in 1978. Current study aimed to record the safety and diagnostic yield of performing fibre optic bronchoscopy (FB) in children under sedation...
A Prospective Study of Tread Mill Test in Postmenopausal Women
Introduction: Cardiovascular disease (CVD) accounts for 45% mortality in women. In post menopausal women risk factors like hypertension, dyslipidemia, obesity and diabetes are increasing. Cardiovascular risk assessment s...
Surgical Emergencies in a Tertiary Care Hospital: A Brief Overview
Introduction: Emergency admissions form a major bulk of total surgical admissions. This study was done to look for the current spectrum of surgical emergencies in a tertiary care hospital. Material and methods: This stud...
Dyslipidemia as an Early Harbinger of Erectile Dysfunction in Type 2 Diabetics
Introduction: Sexual dysfunction is a common, underappreciated complication of diabetes.Men with diabetes tend to develop ED 10 to 15 years earlier than men without diabetes. As men with diabetes age, ED becomes even mor...