Radiological Findings of Lung Cancer: Focus on Atypical Pattern

폐암의 방사선 소견(비전형적 소견을 중심으로)

  • 성동욱 (경희대학교 의과대학 진단방사선과학교실)
  • Published : 2005.06.30

Abstract

The clinical and radiographic findings of lung cancer have been well established many journals. Even if the radiographic findings of lung cancer show a typical pattern, the specific cell type of lung cancer sometimes needs to be determined prior to a pathological diagnosis. For example, the usual finding of a squamous cell carcinoma is similar to other cancer types such as an adenocarcinoma or a small cell carcinoma but with a lower incidence. Therefore, it should not be used to make a diagnosis of the cell type prior to a pathological diagnosis. Many unusual findings of lung cancer, so called atypical pattern have been reported, but atypical findings are widely accepted. The more important thing is not to diagnose a specific cell type of cancer but to differentiate it from other benign conditions such as tuberculosis, fungal infections or organizing pneumonia. This paper presents typical information of the cell type of lung cancer along with the atypical radiographic findings.

Keywords

References

  1. Sider L. Radiographic manifestation of primary bronchogenic carcinoma. Radiol Clin North Am 1990;28:583-97
  2. Grippi MA. Clinical aspects of lung cancer. Semin Roentgenol 1990;25:12-24
  3. Yesner R. Histopathology of lung cancer. Semin ultrasound CT MR 1988;9:4-26
  4. Erasmus JJ, Connolly JE, McAdams HP, Roggli VL. Solitary pulmonary nodules: part I. morphologic evaluation for differentiation of benign and malignant lesions. Radiographics 2000;20:43-58 https://doi.org/10.1148/radiographics.20.1.g00ja0343
  5. Han TI, Sung DW, Lim SJ, Yoon Y. Spiculation of lung mass on CT: carcinoma vs. tuberculoma. J Korean Radiol Soc 1994;31:63-7 https://doi.org/10.3348/jkrs.1994.31.1.63
  6. Chaudhuri MR. Primary pulmonary cavitating carcinoma. Thorax 1973;28:354-66 https://doi.org/10.1136/thx.28.3.354
  7. Woodring JH, Stelling CB. Adenocarcinoma of the lung: a tumor with a changing pleomorphic character. Am J Roentgenol 1983;140:657-64 https://doi.org/10.2214/ajr.140.4.657
  8. Sider L, Horejs D. Frequency of extrathoracic metastasis from bronchogenic carcinoma in patients with normal-sized hilar and mediastinal lymph nodes on CT. Am J Roentgenol 1988;151:893-5 https://doi.org/10.2214/ajr.151.5.893
  9. Quint LE, Park CH, Iannettoni MD. Solitary pulmonary nodules in patients with extrapulmonary neoplasms. Radiology 2000;217:257-61 https://doi.org/10.1148/radiology.217.1.r00oc20257
  10. Bakris GL. Mulopulos GP, Korchik R, Ezdinli EZ, Ro J, Yoon BH. Pulmonary scar carcinoma. Cancer 1983;52:493-7 https://doi.org/10.1002/1097-0142(19830801)52:3<493::AID-CNCR2820520319>3.0.CO;2-Y