CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern.

CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern. Research Abstract Details 

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CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern. Abstract Text:

Shodayu Takashima,Yuichiro Maruyama,Minoru Hasegawa,Takeshi Yamanda,Takayuki Honda,Masumi Kadoya,Shusuke Sone,

OBJECTIVE: We investigated the imaging findings and progression of replacement lung neoplasms that were revealed on thin-section CT and serial CT. MATERIALS AND METHODS: We evaluated the age of patients and thin-section CT findings (lesion size; percentage of ground-glass opacity areas; and presence or absence of solid portions, lobulation, coarse spiculation, air bronchogram, cavity, multiplicity, and pleural tags) in 73 lesions (11 atypical adenomatous hyperplasias, 17 type A [Noguchi's classification], 18 type B, and 27 type C small peripheral adenocarcinomas). We compared the serial findings of 48 of 73 lesions on low-dose screening CT (n = 21) or thin-section CT (n = 27) obtained at a mean interval of 450 days (range, 85-951 days). Progression from atypical adenomatous hyperplasia through type A to type B and then to type C tumor was studied using trend tests. RESULTS: A significant linear trend was seen for lesion size (r = 0.55; p < 0.001), percentages of ground-glass opacity areas (r = 0.75; p < 0.001), and the prevalence of lobulation (p < 0.001), spiculation (p = 0.001), air bronchogram (p = 0.023), cavity (p = 0.046), pleural tag (p < 0.001), and solid portions (p < 0.001). In general from serial CT assessment, lesions were recognized first as a ground-glass opacity nodule (56% of 48 lesions) with subsequent increase in size (75%), then solid portions appeared in the nodule (17%), and finally solid portions increased (23%) with occasional augmentation of tissue contraction (6%). CONCLUSIONS: CT analysis revealed stepwise progression of replacement-type lung neoplasms.

CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern. Publishing Authors By Initials

S Takashima,Y Maruyama,M Hasegawa,T Yamanda,T Honda,M Kadoya,S Sone,

For similar tomography, x-ray computed research abstracts see: tomography, x-ray computed research

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CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 180

Page Numbers: 817-26

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ISSN: 0361-803X

DAY: 15

MONTH: Mar

YEAR: 2003

CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern. Information

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LANGUAGE: eng

NlmUniqueID: 7708173

CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern. Keywords Mesh Terms:

KEYWORDS: Tomography, X-Ray Computed

MESH TERMS: radiography

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Grant and Affiliation Information for CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern.

AFFILIATION: Department of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan.

Country: United States

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MEDLINETA: AJR Am J Roentgenol

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