THORACIC COMPLICATIONS OF OESOPHAGEAL CARCINOMA- A RETROSPECTIVE ANALYSIS OF CT APPEARANCES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 61
Abstract
BACKGROUND Oesophageal cancer is a common gastrointestinal tract malignancy and Computed Tomography (CT) is generally used for its initial evaluation and staging. Due to the anatomical relationships of the oesophagus, malignancies afflicting it can also give rise to various pulmonary and thoracic complications. The staging CT can also be used to detect and evaluate these complications. Detection of concurrent thoracic complications in addition to the primary malignancy is imperative to institute appropriate management. The aim of the study is to analyse and discuss the various thoracic complications in cases of oesophageal carcinoma detected on Multidetector Computed Tomography (MDCT). MATERIALS AND METHODS MDCT images of 27 cases of histopathologically-proven carcinoma oesophagus who had thoracic complications in addition to features of malignancy and metastases were retrospectively analysed. The various pulmonary and thoracic complications in addition to the primary lesions were assessed and evaluated. RESULTS There were 27 cases of oesophageal carcinoma with complications, of which there were 20 patients who had pulmonary consolidation/pneumonitis, 5 had oesophago-respiratory fistulae, 1 had a lung abscess, 2 had pericardial effusions, 3 had pleural effusions, 2 cases of airway compromise with atelectasis and 2 cases with Pulmonary Thromboembolism (PTE). CONCLUSION The routine chest CT for evaluation and staging of the primary tumour in cases of oesophageal carcinoma can also reveal thoracic complications directly or indirectly related the cancer some of which may alter management. The most common of these are pneumonia and oesophago-respiratory fistulas. Others like pulmonary thromboembolism may require immediate intervention. An awareness of the spectrum of imaging appearances of these complications and due vigilance while interpreting chest CT studies will aid decision making and institution of appropriate management.
Authors and Affiliations
Piyush Joshi
Keywords
Related Articles
- EP ID EP228241
- DOI 10.18410/jebmh/2017/728
- Views 53
- Downloads 0
COMPARISON OF 0.1% ADAPALENE CREAM WITH 0.1% TAZAROTENE CREAM IN THE TREATMENT OF ACNE VULGARIS
BACKGROUND Acne vulgaris is a self-limiting disorder of the pilosebaceous unit that is seen primarily in adolescents. Acne therapy aims at reduction of sebum production, correcting the abnormal ductal keratinisation, red...
SURGICAL OUTCOME OF DIAPHYSEAL FRACTURES OF HUMERUS BY ANTEGRADE INTERLOCKING NAILING IN CLOSED REDUCTION
BACKGROUND: Fractures involving the shaft of humerus are commonly encountered by orthopedic surgeons in day to day practice. Humeral shaft fracture can be treated using intramedullary fixation technique. Flexible intrame...
CLINICOPATHOLOGICAL CHARACTERISTICS OF SOLITARY NODULE OF THYROID- A CROSS-SECTIONAL STUDY IN A TERTIARY CENTER
BACKGROUND Solitary Thyroid Nodules (STN) occur in 4-7% of the adult population. Owing to increasing incidence of malignancy, it is necessary to differentiate patients with benign STN from malignant ones for early interv...
VARIATIONS IN DIVISION OF SCIATIC NERVE: A CADAVERIC STUDY
INTRODUCTION Sciatic nerve is the largest and thickest nerve in the body. It arises from the lumbar plexus within the pelvis. The nerve emerges from the pelvis to enter into its component nerves –tibial and common perone...
SERUM LIPID PROFILE AND TRANSAMINASES LEVELS IN HIV PATIENTS ON HAART WITH ADIPOSE TISSUE ALTERATIONS
BACKGROUND HIV patients receiving highly active Anti-Retroviral Therapy (HAART) usually suffer from side effects like hepatitis, neurological problems, abnormal fat distribution etc. Among these, the most physical, menta...