Important note: Information in this article was accurate in 1994. The state of the art may have changed since the publication date.
The use of chest CT in the initial evaluation of non-Hodgkin's lymphoma (Meeting abstract).
Am J Roentgenol; 160(4, Suppl):97 1993. Unique Identifier : AIDSLINE ICDB/94697402 Curtin KR; Sider L; Dynes M; Chicago, IL
Abstract:
Purpose: To study the contribution chest CT makes to the staging and clinical management of non-Hodgkin's lymphoma at the time of initial presentation. Materials and methods: retrospective review of chest CT scans, chest radiographs and subsequent hospital course in 59 patients (pts) with newly diagnosed non-Hodgkin's lymphoma (excluding HIV positive pts). Results: 42 of the 59 pts (71.2%) had normal chest radiographs. The accompanying CT scans showed the presence of undetected axillary, mediastinal or hilar adenopathy, unsuspected pleural or pericardial effusion or pulmonary infiltrate in 20 of these pts (47.0%). This resulted in a change of their radiographic staging. Of the 17 remaining pts with an initially abnormal chest radiograph, the CT scans confirmed abnormalities in all cases. In 11 of the 17 pts (64.7%) with an abnormal chest radiograph, the CT demonstrated more intensive disease and additional areas of involvement. Conclusion: CT proved to be of great value in providing an accurate staging at the time of the initial presentation in lymphoma especially when compared to the chest radiograph. This accurate staging allows for the inclusion into the proper treatment protocol as well as more accurate assessment of subsequent response.
Keywords: Human Lymphoma, Non-Hodgkin's/*RADIOGRAPHY Mediastinal Neoplasms/RADIOGRAPHY/SECONDARY Retrospective Studies *Thoracic Radiography Tomography, X-Ray Computed ABSTRACT 940630
M9460923
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