HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Rusch, V. W. Articles by Shuman, W. P. Search for Related Content PubMed PubMed Citation Articles by Rusch, V. W. Articles by Shuman, W. P.

The Journal of Thoracic and Cardiovascular Surgery, Vol 96, 171-177, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

The role of computed tomography scanning in the initial assessment and the follow-up of malignant pleural mesothelioma

VW Rusch, JD Godwin and WP Shuman
Department of Surgery, University of Washington, Seattle 98195.

Between October 1983 and April 1987, 20 patients with malignant mesothelioma underwent computed tomography scans of the chest and upper abdomen to evaluate the extent of disease before treatment. Twelve of these 20 patients deemed to have some potential for long-term survival had scans performed every 3 months after operation to help detect recurrent disease. Anatomic correlation of computed tomography scan findings was available in all 20 patients. The limitations of computed tomography in initial evaluation were its difficulties in assessing (1) chest wall involvement (nine patients), (2) mediastinal lymph nodes (four patients), (3) transdiaphragmatic extension of tumor (four patients), and (4) peritoneal studding and solid organ metastases less than 2 mm in size (one patient). Computed tomography was helpful in detecting recurrent disease in the 12 patients having long-term follow- up. In six of eight cases with histologically proved recurrence, computed tomography detected tumors from 1 to 8 months before the onset of signs or symptoms. Although computed tomography is known to provide far more information about the extent of disease than plain radiographs, it remains an imperfect tool for the staging of disease in patients with malignant mesothelioma. Despite its limitations, computed tomography is probably the most accurate way to provide follow-up for patients during treatment.

This article has been cited by other articles:

				T. J. Barreiro and P. J. Katzman Malignant Mesothelioma: A Case Presentation and Review J Am Osteopath Assoc, December 1, 2006; 106(12): 699 - 704. [Abstract] [Full Text] [PDF]

				F. L. Giesel, H. Bischoff, H. von Tengg-Kobligk, M.-A. Weber, C. M. Zechmann, H.-U. Kauczor, and M. V. Knopp Dynamic Contrast-Enhanced MRI of Malignant Pleural Mesothelioma: A Feasibility Study of Noninvasive Assessment, Therapeutic Follow-up, and Possible Predictor of Improved Outcome Chest, June 1, 2006; 129(6): 1570 - 1576. [Abstract] [Full Text] [PDF]

				T. Bunyaviroch and R. E. Coleman PET Evaluation of Lung Cancer J. Nucl. Med., March 1, 2006; 47(3): 451 - 469. [Full Text] [PDF]

				H. Kramer, R. M. Pieterman, D.-J. Slebos, W. Timens, W. Vaalburg, G. H. Koeter, and H. J.M. Groen PET for the Evaluation of Pleural Thickening Observed on CT J. Nucl. Med., June 1, 2004; 45(6): 995 - 998. [Abstract] [Full Text] [PDF]

				J.E. Pilling, D.J. Stewart, A.E. Martin-Ucar, S. Muller, K.J. O'Byrne, and D.A. Waller The case for routine cervical mediastinoscopy prior to radical surgery for malignant pleural mesothelioma Eur. J. Cardiothorac. Surg., April 1, 2004; 25(4): 497 - 501. [Abstract] [Full Text] [PDF]

				Z. J. Wang, G. P. Reddy, M. B. Gotway, C. B. Higgins, D. M. Jablons, M. Ramaswamy, R. A. Hawkins, and W. R. Webb Malignant Pleural Mesothelioma: Evaluation with CT, MR Imaging, and PET RadioGraphics, January 1, 2004; 24(1): 105 - 119. [Abstract] [Full Text] [PDF]

				V. W. Rusch, K. Rosenzweig, E. Venkatraman, L. Leon, A. Raben, L. Harrison, M. S. Bains, R. J. Downey, and R. J. Ginsberg A phase II trial of surgical resection and adjuvant high-dose hemithoracic radiation for malignant pleural mesothelioma J. Thorac. Cardiovasc. Surg., October 1, 2001; 122(4): 788 - 795. [Abstract] [Full Text] [PDF]

				S. Bandoh, J. Fujita, Y. Fukunaga, S. Ohtsuka, K. Susaki, Y. Yang, S. Kobayashi, and J. Takahara Nodular Thickening of Interlobar Fissures: an Early Manifestation of Malignant Mesothelioma: A Case Report Jpn. J. Clin. Oncol., February 1, 2001; 31(2): 82 - 85. [Abstract] [Full Text] [PDF]

				D. B. Schneider, C. Clary-Macy, S. Challa, K. C. Sasse, S. H. Merrick, R. Hawkins, G. Caputo, and D. Jablons Positron emission tomography with f18-fluorodeoxyglucose in the staging and preoperative evaluation of malignant pleural mesothelioma J. Thorac. Cardiovasc. Surg., July 1, 2000; 120(1): 128 - 133. [Abstract] [Full Text] [PDF]

				M B Jackson, D Pounder, C Price, A W Matthews, and E Neville Percutaneous cervical cordotomy for the control of pain in patients with pleural mesothelioma Thorax, March 1, 1999; 54(3): 238 - 241. [Abstract] [Full Text]