1. Erratum: Multidetector CT Findings and Differential Diagnoses of Malignant Pleural Mesothelioma and Metastatic Pleural Diseases in Korea
- Author
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Chin A Yi, Soon Hee Jung, Jeung Sook Kim, Yoon Kyung Kim, Jin Mo Goo, and Kyung Won Lee
- Subjects
Male ,Mesothelioma ,Lung Neoplasms ,Pleural effusion ,030218 nuclear medicine & medical imaging ,Metastasis ,0302 clinical medicine ,Odds Ratio ,Medical diagnosis ,05 social sciences ,Middle Aged ,respiratory system ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Mediastinal lymph node ,Lymphatic Metastasis ,Pleura ,Female ,Original Article ,Radiology ,Erratum ,CT ,Adult ,Image-Guided Biopsy ,medicine.medical_specialty ,Pleural Neoplasms ,MEDLINE ,Multidetector ct ,Malignancy ,Diagnosis, Differential ,Thoracic Imaging ,03 medical and health sciences ,Pleural disease ,0502 economics and business ,Multidetector Computed Tomography ,Republic of Korea ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Pleural Neoplasm ,Aged ,Retrospective Studies ,Lung ,Pleural mesothelioma ,business.industry ,Mesothelioma, Malignant ,medicine.disease ,respiratory tract diseases ,050211 marketing ,business ,050212 sport, leisure & tourism - Abstract
Objective To compare the multidetector CT (MDCT) features of malignant pleural mesothelioma (MPM) and metastatic pleural disease (MPD). Materials and methods The authors reviewed the MDCT images of 167 patients, 103 patients with MPM and 64 patients with MPD. All 167 cases were pathologically confirmed by sonography-guided needle biopsy of pleura, thoracoscopic pleural biopsy, or open thoracotomy. CT features were evaluated with respect to pleural effusion, pleural thickening, invasion of other organs, lung abnormality, lymphadenopathy, mediastinal shifting, thoracic volume decrease, asbestosis, and the presence of pleural plaque. Results Pleural thickening was the most common CT finding in MPM (96.1%) and MPD (93.8%). Circumferential pleural thickening (31.1% vs. 10.9%, odds ratio [OR] 3.670), thickening of fissural pleura (83.5% vs. 67.2%, OR 2.471), thickening of diaphragmatic pleura (90.3% vs. 73.4%, OR 3.364), pleural mass (38.8% vs. 23.4%, OR 2.074), pericardial involvement (56.3% vs. 20.3%, OR 5.056), and pleural plaque (66.0% vs. 21.9%, OR 6.939) were more frequently seen in MPM than in MPD. On the other hand, nodular pleural thickening (59.2% vs. 76.6%, OR 0.445), hilar lymph node metastasis (5.8% vs. 20.3%, OR 0.243), mediastinal lymph node metastasis (10.7% vs. 37.5%, OR 0.199), and hematogenous lung metastasis (9.7% vs. 29.2%, OR 0.261) were less frequent in MPM than in MPD. When we analyzed MPD from extrathoracic malignancy (EMPD) separately and compared them to MPM, circumferential pleural thickening, thickening of interlobar fissure, pericardial involvement and presence of pleural plaque were significant findings indicating MPM than EMPD. MPM had significantly lower occurrence of hematogenous lung metastasis, as compared with EMPD. Conclusion Awareness of frequent and infrequent CT findings could aid in distinguishing MPM from MPD.
- Published
- 2016