Pleural and Chest Wall Tumors

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Pleural and Chest Wall Tumors"

Transcription

1 Pleural and Chest Wall Tumors Ritu Gill, MD, MPH Dr. Ritu R. Gill Department t of Radiology Brigham and Women s Hospital Harvard Medical School CLASSIFICATION OF CHEST WALL TUMORS Primary neoplasm of chest wall: malignant, benign Metastatic neoplasms to chest wall: sarcoma, carcinoma Adjacent neoplasms with local invasion: lung, breast, pleura 2 INCIDENCE Primary chest wall tumors are uncommon % of these tumors are malignant. Soft tissues are major sources of chest wall tumors. The most common primary malignant chest wall tumors are malignant fibrous histiocytoma, rhabdomyosarcoma and chondrsarcoma. The most common primary benign chest wall tumors cartilaginous tumors, desmoids and fibrous dysplasia. PRIMARY CHEST WALL TUMORS Malignant myeloma, malignant fibrous histiocytoma, chondrosarcoma, rhbdomyosarcoma, Ewing s sarcoma, liposarcoma, lymphoma, leiomyosarcoma, hemangiosarcoma Benign osteochondroma, chondroma, desmoids, fibrous dysplasia, lipoma, fibroma, neurilemoma 3 4 PRIMARY BONE TUMORS Primary bone neoplasms involving chest wall are uncommon. The most common benign bone tumors are cartilaginous in origin-osteochondroma and chondroma. The most common malignant bone tumors are myeloma, chondrosarcoma, malignant lymphoma and Ewing s sarcoma. BENIGN RIB TUMORS Osteochondroma It is the most common benign bone tumor( 50% of benign rib tumors ) It arises from the metaphyseal region of the rib and present a bony protuberance with a cartilaginous cap. Rarely, it can involves the diaphragm and induce hemothorax. 5 6

2 BENIGN RIB TUMORS Cystic, non-neoplastic lesion with fibrous replacement of medullary cavity of the rib. Albright s syndrome( multiple bone cysts, skin pigmentation and precocious sex maturity in girls il ) should be suspected if multiple lesions occurs. Treatment t should be conservative. Majority stop growing at puberty. Surgical resection is indicated if pain and enlarging lesions occurs. 7 HISTIOCYTOSIS X Comprises of a spectrum of disease involving the reticuloendothelial system, including eosinophilic granuloma, Letterer-Siwe disease and Hand- Schuller-Christian disease. Histiocytosis X occurs in patients younger than 50 years. Eosinophilic granuloma is limited only bone involvement. Bone lesions may occurs in all types of histiocytosis X and skull is the most common. Surgical resection in solitary disease is curative. Radiation therapy can be helpful in multi-site involvement. 8 MALIGNANT RIB TUMORS It is the most common malignant rib tumor. Most myelomas involving chest wall are systemic myeloma. Most myeloma occurs in people of years and rare in people< 30 years. Punched-out lesion with cortical thinning i presents radiographically. Pathologic fracture is common. Local excision is for diagnosis. Radiation is for a solitary lesion and both radiation and chemotherapy for multiple lesion. 5-year survival is 20 %. 9 MALIGNANT RIB TUMORS Chondrosarcoma It is almost a tumor of the anterior chest wall. Most chondrosarcoma occurs in people of years and male. All tumors from costal cartilages should be considered d malignancy. Pathological fracture is uncommon. Chest wall chondrosarcoma grows slowly and metastases occur late 10 MALIGNANT RIB TUMORS Ewing s sarcoma 2/3 patients is younger than 20 years. An onion-skin appearance of the surface of the bone may be seen. Pathological fracture is rare. Radiation is the treatment of choice and adjuvant chemotherapy is also used. MALIGNANT RIB TUMORS Osteogenic sarcoma It is more malignant and less common than chondrosarcoma. More common in teenagers and young adults. Men more than women. Serum ALP is frequently elevated. Pathologic fracture is rare. The treatment is wide excision. Radiation is not valuable and chemotherapy is controversial. 5-year survival is 20%

3 MALIGNANT RIB TUMORS TUMORS OF THE MANUBRIUM, STERNUM, SCAPULA AND CLAVICLE Radiation-Associated Malignant Tumors Those tumors are uncommon. Osteosarcoma and soft tissue sarcoma are the most common. The initial radiation is most common for breast cancer and lymphoma. The treatment is similar to tumors arising de novo. Primary tumors of the manubrium and the sternum constitute 15 % of the chest wall tumors, but nearly all are malignant. The sternum is a frequent site metastasis from the breast, thyroid and kidney. The scapula is not a frequent site of metastasis. Pi Primary tumors of fthe clavicle l are uncommon, but t90% are malignant. The clavicle is more a site of a metastasis than a primary tumor BENIGN SOFT TISSUE TUMOR Desmoid 40 % of all demoids occur in the chest wall and the shoulder. Encapsulation of vessels and brachial plexus in arms and neck is common. The tumor may extend into the pleural cavity and displace mediastinal structure. Desmoid is most common in people of between puberty and 40 years of age. Men and women was affected equally. The tumor originates in muscle and fascia. The tumor must be treated with wide excision. Recurrence may occur if inadequate excision. 15 MALIGNANT SOFT TISSUE TUMORS Malignant Fibrous Histiocytoma It is the most common chest wall tumor that the thoracic surgeon was asked. It is most common in people of years of age. 2/3 of patients are male. The tumor was unresponsive to radiation and chemotherapy, so wide resection is the choice. 5-year survival is 38 %. 16 MALIGNANT SOFT TISSUE TUMORS Rhabdomyosarcoma It is the most second common malignant soft tissue tumor. It is most common in children and young adults. The tumor is neither pain nor tender, despite rapid growth. Wide excision with postoperative chemotherapy and radiotherapy apy results in 5-year survival of 70%. MALIGNANT SOFT TISSUE TUMORS Liposarcoma It is most common in people of years of age. Most patients are men. Treatment is wide excision.5-year survival is 60 %. Chemotherapy and radiotherapy have little to offer

4 MALIGNANT SOFT TISSUE TUMORS PLEURAL MASS CHARACTERISTICS Neurofibrosarcoma Chest wall neurofibrosarcoma occurs along the intercostal nerve. It is most common in people of years of age. Most patients are male. Half of patients are associated with von Recklinghausen s disease. Treatment is wide excision. 19 Obtuse angles with pleural surfaces Sharp margins on tangential views Discrepant margins on different views Incomplete border May cross fissures Look for osseous and soft tissue--chest wall WHO HISTOLOGICAL CLASSIFICATION OF PLEURAL TUMORS Mesothelial Tumours Diffuse malignant mesothelioma Epithelioid mesothelioma Sarcomatoid mesothelioma Desmoplastic mesothelioma Biphasic mesothelioma Localized malignant mesothelioma Other Tumours of Mesothelial Origin Well differentiated papillary p mesothelioma Adenomatoid tumour Lymphoproliferative Disorders Primary effusion lymphoma 9678/3 Pyothorax associated lymphoma Mesenchymal Tumours Epithelioid hemangioendothelioma Angiosarcoma Synovial sarcoma Monophasic Biphasic solitary fibrous tumour Calcifying tumour of the pleura Desmoplastic round cell tumour PLEURAL METASTASES 40% Bronchogenic adenocarcinoma 20% Breast cancer 10% Lymphoma 30% Other primaries Thymoma Carcinoid Sarcoma Splenosis MALIGNANT PLEURAL MESOTHELIOMA 2,000-3,000 cases annually in the U.S. Incidence increasing worldwide Up to 10% lifetime risk of developing mesothelioma among asbestos workers Asbestos + cigarette smoking synergistic 60X more likely to develop lung cancer when compared to non-smoking, non-asbestos exposed cohort Sterman, Daniel,. Epidemiology of malignant mesothelioma.. May 1, 2009

5 MALIGNANT PLEURAL MESOTHELIOMA PATHOLOGIC SPECTRUM 3-6:1(men:women) follows exposure Latency of years ( /yr) Present with SOB, chest pain, cough, and weight loss Right side with SVC, Horner syndrome HPO, clubbing A D G B C F I E Epithelioid id 50% Mixed 34% Sarcomatoid 16% H Percent surv rvival Prognosis of Malignant Mesothelioma is Dependent on the Histologic Type Malignant Mesothelioma Epithelioid Mixed Sarcomatoid 60 WDPM 20 Stage I II III BWH STAGING Definition Disease confined to within the capsule of the parietal pleura; ipsilateral pleura, lung, pericardium, diaphragm, or chest wall disease limited to previous biopsy site All of stage I with positive intrathoracic (N1 or N2) lymph nodes and positive resection margins Local extension of disease into chest wall or mediastinum; heart, or through the diaphragm and peritoneum; with or without extrathoracic or contralateral lymph node involvement (N3) Time (months) IV Distant metastatic disease Sugarbaker, DJ, Norberto, JJ, Swanson, SJ. Surgical staging and work up of patients with diffuse malignant pleural mesothelioma. Mesotheliomas.. Ed. Sugarbaker DJ. Volume 9, issue 4, 1997 RADIOGRAPHIC PRESENTATION NODULAR PLEURAL THICKENING Wide range Pleural effusion, small to large Encasement of lung Lobulated pleural masses

6 CHEST WALL AND MEDIASTINUM INVOLVEMENT DIAPHRAGMATIC EXTENSION diaphragm PULMONARY, LYMPH NODE, AND LIVER INVOLVEMENT CHEST WALL INVASION Sagittal and coronal MDCT images reveal marked encasement of the right lung with extension of the pleural mass into the mediastinum (white arrows), and extension into the abdomen (arrowhead). IN SOME CASES, COMPLEMENTARY ANATOMICAL INFORMATION CAN BE DERIVED FROM MRI

7 Accuracy of MPM staging by CT and MRI p T2 T2 Diaphragm involvement Endothoracic fascia involvement or solitary resectable focus tumor MRI IS SUPERIOR TO CT DIFFUSION WEIGHTED IMAGING 3orthogonal directions 4b-values (0,250,500,750) Time 6.5 mts ADC = 0.883x 10-3 mm 2 /s HASTE DW I CE ADC FOLLOWING NEOADJUVANT CHEMOTHERAPY Pre-chemotherapy Rotating maximum intensity projection and fusion PET-PT images of the same patient from pre and post chemotherapy studies show reduced post treatment FDG avidity of the right pleural mass. The patient subsequently under- Post-chemotherapy Pre-chemotherapy Prechemotherapy Post-chemotherapy Post-chemotherapy

8 Course of MPM Pleural effusion dominant early Progressive encasement of lung Lobulated pleural masses late Invasion of lung Lung nodules and distant spread SOLITARY FIBROUS TUMOR Benign mesothelioma Benign fibrous tumor of pleura Localized fibrous tumor of pleura Solitary fibrous tumor SOLITARY FIBROUS TUMOR Rare Symptoms relate to size : cough, chest pain, Cough, dyspnea, chest pain Paraneoplastic syndrome: clubbing, hypertrophic osteo-arthropathy, hypoglycemia SOLITARY FIBROUS TUMOR Visceral pleura 80% Parietal pleura 20% Encapsulated, pedunculated Nodular, whorled appearance CD34 positive; calretinin and WT-1 negative Hemorrhage, necrosis and cysts SOLITARY FIBROUS TUMOR LIPOSARCOMA Typically large, infiltrative, and asymptomatic No evidence to suggest they arise from pre-existing lipomas Heterogeneous masses on CT with soft tissue and fat component. They tend to measure less than 50 HU (mean CT values) on pre and post intravenous contrast enhancement images On MRI, they tend to have high signal intensity on T2WI, because of myxoid degeneration, while low signal is common and have variable enhancement post gadolinium administration

9 SYNOVIAL SARCOMA Typically occurs in adolescents and young adults between the ages of 15 and 40 years It is believed ed to originate from primitive pleuripotent mesenchyme capable of synovial differentiation Because of its rarity, it is often mistaken on imaging and histology for sarcomatoid mesothelioma Molecular studies for the X:18 translocation are useful for differentiation Focally positive: EMA, AE1/AE3, Cam5.2 Negative: CD34, S , GFAP FISH: positive for SYT gene rearrangement LYMPHOMA Both primary and secondary forms can involve the pleura. Follicular and B cell lymphoma tend to be more common There can be associated lymphadenopathy, as well as chest wall and marrow involvement. Tend to be low on T1WI and iso to high signal on T2WI Diffuse homogenous enhancement CONCLUSION Metastases are 95% of pleural lesions Focal pleural tumor can be favorable DX Malignant pleural mesothelioma and Adenocarcinomatosis may look alike RESOURCES Evans AL, Gleeson FV. Radiology in pleural disease: State of the art. Respirology 2004; 9: Sung SH, Chang JW, Jhingook K, et al. Solitary fibrous tumors of the pleura: surgical outcome and clinical course. Ann Thorac Surg 2005; 79: Wang ZJ, Reddy GP, Gotway MB, et al. Malignant pleural mesothelioma: evaluation with CT, MR imaging, and PET. Radiographics 2004; 24:

Plueral Malignancy: Radiologic-pathologic

Plueral Malignancy: Radiologic-pathologic Plueral Malignancy: Radiologic-pathologic Correlation Ritu R. Gill, MD Pleural Malignancies: Radiologic-Pathologic Correlation Ritu R Gill MD Brigham and Women s Hospital Boston, Massachusetts Pleural

More information

Objectives. Mylene T. Truong, MD. Malignant Pleural Mesothelioma Background

Objectives. Mylene T. Truong, MD. Malignant Pleural Mesothelioma Background Imaging of Pleural Tumors Mylene T. Truong, MD Imaging of Pleural Tumours Mylene T. Truong, M. D. University of Texas M.D. Anderson Cancer Center, Houston, TX Objectives To review tumors involving the

More information

Update on Mesothelioma

Update on Mesothelioma November 8, 2012 Update on Mesothelioma Intro incidence and nomenclature Update on Classification Diagnostic specimens Morphologic features Epithelioid Histology Biphasic Histology Immunohistochemical

More information

Primary -Benign - Malignant Secondary

Primary -Benign - Malignant Secondary TUMOURS OF THE LUNG Primary -Benign - Malignant Secondary The incidence of lung cancer has been increasing almost logarithmically and is now reaching epidemic levels. The overall cure rate is very low

More information

Cardiac Masses and Tumors

Cardiac Masses and Tumors Cardiac Masses and Tumors Question: What is the diagnosis? A. Aortic valve myxoma B. Papillary fibroelastoma C. Vegetation from Infective endocarditis D. Thrombus in transit E. None of the above Answer:

More information

Extrapleural Pneumonectomy for Malignant Mesothelioma: Pro. Joon H. Lee 9/17/2012

Extrapleural Pneumonectomy for Malignant Mesothelioma: Pro. Joon H. Lee 9/17/2012 Extrapleural Pneumonectomy for Malignant Mesothelioma: Pro Joon H. Lee 9/17/2012 Malignant Pleural Mesothelioma (Epidemiology) Incidence: 7/mil (Japan) to 40/mil (Australia) Attributed secondary to asbestos

More information

بسم هللا الرحمن الرحيم

بسم هللا الرحمن الرحيم بسم هللا الرحمن الرحيم Updates in Mesothelioma By Samieh Amer, MD Professor of Cardiothoracic Surgery Faculty of Medicine, Cairo University History Wagner and his colleagues (1960) 33 cases of mesothelioma

More information

Soft Tissue Sarcomas: Questions and Answers

Soft Tissue Sarcomas: Questions and Answers CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Soft Tissue Sarcomas:

More information

Sternotomy and removal of the tumor

Sternotomy and removal of the tumor Sternotomy and removal of the tumor All thymomas originate from epithelial thymic cells 4% of them consist of a pure population of epithelial cells Most have mixed populations of lymphoid cells to a

More information

Basic Data. 鍾 XX, female Age:59 y/o

Basic Data. 鍾 XX, female Age:59 y/o Basic Data 鍾 XX, female Age:59 y/o Chief complain for evaluation of the left pleural mass Clinical course This 59 years old lady Hypertension for 3 years, under herbal control. An episode of high BP up

More information

Recommendations for the Reporting of Pleural Mesothelioma

Recommendations for the Reporting of Pleural Mesothelioma Recommendations for the Reporting of Pleural Mesothelioma Association of Directors of Anatomic and Surgical Pathology * DOI: 10.1309/6A30YQHBMTHEJTEM It has been evident for decades that pathology reports

More information

The develpemental origin of mesothelium

The develpemental origin of mesothelium Mesothelioma Tallinn 14.12.06 Henrik Wolff Finnish Institute of Occupational Health The develpemental origin of mesothelium Mesodermal cavities (pleura, peritoneum and pericardium ) are lined with mesenchymal

More information

Fibrous Tumor of the Pleura. Milena Petranovic, HMS IV Gillian Lieberman, MD June 17, 2008

Fibrous Tumor of the Pleura. Milena Petranovic, HMS IV Gillian Lieberman, MD June 17, 2008 Fibrous Tumor of the Pleura Milena Petranovic, HMS IV Gillian Lieberman, MD June 17, 2008 Our Patient: 39-year old asymptomatic female Mass on Chest X-ray PA BIDMC, PACS Lateral BIDMC, PACS Well-circumscribed,

More information

P L E U R A L M E S O T H E L I O M A

P L E U R A L M E S O T H E L I O M A For media outside the US, UK and Canada only P L E U R A L M E S O T H E L I O M A 1. Overview 2. What is pleural mesothelioma? 3. How common is pleural mesothelioma? 4. What are the risk factors for pleural

More information

MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY

MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY Sisko Anttila, MD, PhD Jorvi Hospital Laboratory of Pathology Helsinki University Hospital Espoo, Finland 2nd Nordic Conference on Applied

More information

. Tissue Origin Benign Malignant Reactive Fibrous Fibroma Fibrosarcoma Dupuytrens contracture. Fat cells Lipoma/ Liposarcoma Hibernoma Angiolipoma

. Tissue Origin Benign Malignant Reactive Fibrous Fibroma Fibrosarcoma Dupuytrens contracture. Fat cells Lipoma/ Liposarcoma Hibernoma Angiolipoma SOFT TISSUE TUMOR Advances in Imaging, diagnosis, surgical technique, instrumentation, adjuvant therapy and basic knowledge of tumor biology have decreased disease free survival in a soft tissue sarcoma

More information

MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY

MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY MALIGNANT MESOTHELIOMA CLASSIFICATION MALIGNANT MESOTHELIOMA UPDATE ON PATHOLOGY AND IMMUNOHISTOCHEMISTRY Sisko Anttila, MD, PhD Jorvi Hospital Laboratory of Pathology Helsinki University Hospital Espoo,

More information

Neoplasms of the LUNG and PLEURA

Neoplasms of the LUNG and PLEURA Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:

More information

INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project

INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project Data Forms and Fields in CRAB Electronic Data Capture System - Reduced Set - Pivotal data elements for developing

More information

Imaging Diagnosis and Staging of Lung Cancer By Mamdouh Mahfouz MD Radio diagnosis Cairo University

Imaging Diagnosis and Staging of Lung Cancer By Mamdouh Mahfouz MD Radio diagnosis Cairo University Imaging Diagnosis and Staging of Lung Cancer By Mamdouh Mahfouz MD Radio diagnosis Cairo University mamdouh.m5@gmail.com www.ssregypt.com Lung Cancer The most common cause of deaths worldwide Cigarette

More information

CHARACTERSTIC RADIOGRAPHIC APPEARANCE

CHARACTERSTIC RADIOGRAPHIC APPEARANCE OSTEOLYTIC LESIONS APPROACH AGE Metastatic Neuroblastoma in infant and young child. Metastases and multiple myeloma in middle aged and elderly. Ewing s sarcoma and simple bone cyst in children and teens.

More information

CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY

CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY CASE HISTORY 52Y MALE RIGHT RADICAL NEPHERECTOMY Case of right renal mass with IVC thrombus. History of surgery and RT for right occipital

More information

Diagnosis of Mesothelioma Pitfalls and Practical Information

Diagnosis of Mesothelioma Pitfalls and Practical Information Diagnosis of Mesothelioma Pitfalls and Practical Information Mary Beth Beasley, M.D. Mt Sinai Medical Ctr Dept of Pathology One Gustave L Levy Place New York, NY 10029 (212) 241-5307 mbbeasleymd@yahoo.com

More information

Renal Cancer: Symptoms, diagnosis, pathology & prognosis

Renal Cancer: Symptoms, diagnosis, pathology & prognosis Renal Cancer: Symptoms, diagnosis, pathology & prognosis Mark Johnson Consultant Urological Surgeon Newcastle upon Tyne Hospitals NHS Foundation Trust Plan for today: How renal tumours present What investigations

More information

Pathology of lung cancer

Pathology of lung cancer Pathology of lung cancer EASO COURSE ON LUNG CANCER AND MESOTHELIOMA DAMASCUS (SYRIA), MAY 3-4, 2007 Gérard ABADJIAN MD Pathologist Associate Professor, Saint Joseph University Pathology Dept. Hôtel-Dieu

More information

Male. Female. Death rates from lung cancer in USA

Male. Female. Death rates from lung cancer in USA Male Female Death rates from lung cancer in USA Smoking represents an interesting combination of an entrenched industry and a clearly drug-induced cancer Tobacco Use in the US, 1900-2000 5000 100 Per Capita

More information

An Introduction to Cancer and Basic Cancer Vocabulary

An Introduction to Cancer and Basic Cancer Vocabulary An Introduction to Cancer and Basic Cancer Vocabulary Marc B. Garnick, MD Beth Israel Deaconess Medical Center Harvard Medical School, Boston Medical Director Cancer Programs Northeast Hospital Corporation,

More information

Subtle mediastinal pleural thickening on computerised tomography as a predictor of mesothelioma

Subtle mediastinal pleural thickening on computerised tomography as a predictor of mesothelioma Subtle mediastinal pleural thickening on computerised tomography as a predictor of mesothelioma Poster No.: C-1794 Congress: ECR 2011 Type: Scientific Exhibit Authors: A. Roy, S. ellis, T. Iyngkaran ;

More information

Introduction: Tumor Swelling / new growth / mass. Two types of growth disorders: Non-Neoplastic. Secondary / adaptation due to other cause.

Introduction: Tumor Swelling / new growth / mass. Two types of growth disorders: Non-Neoplastic. Secondary / adaptation due to other cause. Disorders of Growth Introduction: Tumor Swelling / new growth / mass Two types of growth disorders: Non-Neoplastic Secondary / adaptation due to other cause. Neoplastic. Primary growth abnormality. Non-Neoplastic

More information

Malignant Pleural Diseases Advances Clinicians Should Know F Gleeson

Malignant Pleural Diseases Advances Clinicians Should Know F Gleeson Malignant Pleural Diseases Advances Clinicians Should Know F Gleeson The following relevant disclosures, conflicts of interest and/ or financial relationships exist related to this presentation: Consultant

More information

GUIDELINES FOR THE MANAGEMENT OF LUNG CANCER

GUIDELINES FOR THE MANAGEMENT OF LUNG CANCER GUIDELINES FOR THE MANAGEMENT OF LUNG CANCER BY Ali Shamseddine, MD (Coordinator); as04@aub.edu.lb Fady Geara, MD Bassem Shabb, MD Ghassan Jamaleddine, MD CLINICAL PRACTICE GUIDELINES FOR THE TREATMENT

More information

Mesothelioma. 1. Introduction. 1.1 General Information and Aetiology

Mesothelioma. 1. Introduction. 1.1 General Information and Aetiology Mesothelioma 1. Introduction 1.1 General Information and Aetiology Mesotheliomas are tumours that arise from the mesothelial cells of the pleura, peritoneum, pericardium or tunica vaginalis [1]. Most are

More information

Imaging of Soft Tissue Tumors

Imaging of Soft Tissue Tumors Imaging of Soft Tissue Tumors Leanne L Seeger, MD, FACR Professor & Chief, Musculoskeletal Imaging David Geffen School of Medicine at UCLA Department of Radiology Objectives 1. Apply understanding and

More information

Lung Cancer: Practical Application of Imaging In Determining Resectability. Jeremy J. Erasmus, M. D.

Lung Cancer: Practical Application of Imaging In Determining Resectability. Jeremy J. Erasmus, M. D. Lung Cancer: Practical Application of Imaging In Determining Resectability Jeremy J. Erasmus, M. D. 62 year old man with a superior sulcus tumor. Which of the following precludes surgical resection in

More information

Protocol for the Examination of Specimens From Patients With Malignant Pleural Mesothelioma

Protocol for the Examination of Specimens From Patients With Malignant Pleural Mesothelioma Protocol for the Examination of Specimens From Patients With Malignant Pleural Mesothelioma Based on AJCC/UICC TNM, 7th edition Protocol web posting date: February 1, 2011 Procedures Resection Authors

More information

Diseases. Inflammations Non-inflammatory pleural effusions Pneumothorax Tumours

Diseases. Inflammations Non-inflammatory pleural effusions Pneumothorax Tumours Pleura Visceral pleura covers lungs and extends into fissures Parietal pleura limits mediastinum and covers dome of diaphragm and inner aspect of chest wall. Two layers between them (pleural cavity) contains

More information

Mesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1

Mesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1 Mesothelioma Introduction Mesothelioma is a type of cancer. It starts in the tissue that lines your lungs, stomach, heart, and other organs. This tissue is called mesothelium. Most people who get this

More information

Malignant Mesothelioma

Malignant Mesothelioma Malignant Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)

More information

Malignant Mesothelioma

Malignant Mesothelioma Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)

More information

Lung Cancer. Ossama Tawfik, MD, PhD Professor, Vice Chairman Director of Anatomic &Surgical Pathology University of Kansas School of Medicine

Lung Cancer. Ossama Tawfik, MD, PhD Professor, Vice Chairman Director of Anatomic &Surgical Pathology University of Kansas School of Medicine Lung Cancer Ossama Tawfik, MD, PhD Professor, Vice Chairman Director of Anatomic &Surgical Pathology University of Kansas School of Medicine Alexandria, Egypt July 1-1 3, 2008 OBJECTIVES Describe and

More information

Oncology. Objectives. Cancer Nomenclature. Cancer is a disease of the cell Cancer develops when certain cells begin to grow out of control

Oncology. Objectives. Cancer Nomenclature. Cancer is a disease of the cell Cancer develops when certain cells begin to grow out of control Oncology Objectives Describe the etiology and pathophysiological mechanisms of cancer Discuss medical and family history findings relevant to cancer Identify general signs and symptoms associated with

More information

Understanding Pleural Mesothelioma

Understanding Pleural Mesothelioma Understanding Pleural Mesothelioma UHN Information for patients and families Read this booklet to learn about: What is pleural mesothelioma? What causes it? What are the symptoms? What tests are done to

More information

General Thoracic Surgery ICD9 to ICD10 Crosswalks. C34.11 Malignant neoplasm of upper lobe, right bronchus or lung

General Thoracic Surgery ICD9 to ICD10 Crosswalks. C34.11 Malignant neoplasm of upper lobe, right bronchus or lung ICD-9 Code ICD-9 Description ICD-10 Code ICD-10 Description 150.3 Malignant neoplasm of upper third of esophagus C15.3 Malignant neoplasm of upper third of esophagus 150.4 Malignant neoplasm of middle

More information

Mesothelioma: Questions and Answers

Mesothelioma: Questions and Answers CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Mesothelioma: Questions

More information

Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy

Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Sarah Hutto,, MSIV Marc Underhill, M.D. January 27, 2009 Past History 45 yo female

More information

Bone and soft tissue tumours of the foot: review of 83 cases

Bone and soft tissue tumours of the foot: review of 83 cases Journal of Orthopaedic Surgery 2002: 10(2): 173 178 Bone and soft tissue tumours of the foot: review of 83 cases G Kinoshita, M Matsumoto, T Maruoka, T Shiraki, K Tsunemi Department of Orthopedic Surgery,

More information

(Osteosarcoma; Chondrosarcoma; Ewing s Sarcoma; Fibrosarcoma; Malignant Fibrous Histiocytoma; Primary Lymphoma of Bone; Giant Cell Tumor; Chordoma)

(Osteosarcoma; Chondrosarcoma; Ewing s Sarcoma; Fibrosarcoma; Malignant Fibrous Histiocytoma; Primary Lymphoma of Bone; Giant Cell Tumor; Chordoma) Bone Cancer (Osteosarcoma; Chondrosarcoma; Ewing s Sarcoma; Fibrosarcoma; Malignant Fibrous Histiocytoma; Primary Lymphoma of Bone; Giant Cell Tumor; Chordoma) by Krisha McCoy, MS En Español (Spanish Version)

More information

PATHOLOGY OF THE PLEURA: Mesothelioma and mimickers Necessity of Immunohistochemistry. M. Praet

PATHOLOGY OF THE PLEURA: Mesothelioma and mimickers Necessity of Immunohistochemistry. M. Praet PATHOLOGY OF THE PLEURA: Mesothelioma and mimickers Necessity of Immunohistochemistry M. Praet Pathology of the Pleura Normal serosa: visceral and parietal layers Inflammation Neoplasia: Primary: mesothelioma

More information

What is Mesothelioma?

What is Mesothelioma? What is Mesothelioma? Mesothelioma is a rare type of cancer that develops in the mesothelial cells found in one s body. These cells form membranous linings that surround and protect the body s organs and

More information

Kidney Cancer OVERVIEW

Kidney Cancer OVERVIEW Kidney Cancer OVERVIEW Kidney cancer is the third most common genitourinary cancer in adults. There are approximately 54,000 new cancer cases each year in the United States, and the incidence of kidney

More information

Multidisciplinary discussion of: Early staged NSCLC

Multidisciplinary discussion of: Early staged NSCLC Multidisciplinary discussion of: Early staged NSCLC 2 different classes of patients Stage IIIA pt2pn2 Stage IIB pt3pn0 2 different classes of patients 50% 40% 30% 20% 10% 3y survival 50% 40% 30% 20% 10%

More information

Report series: General cancer information

Report series: General cancer information Fighting cancer with information Report series: General cancer information Eastern Cancer Registration and Information Centre ECRIC report series: General cancer information Cancer is a general term for

More information

The evolving pathology of solitary fibrous tumours. Luciane Dreher Irion MREH / CMFT / NSOPS

The evolving pathology of solitary fibrous tumours. Luciane Dreher Irion MREH / CMFT / NSOPS The evolving pathology of solitary fibrous tumours Luciane Dreher Irion MREH / CMFT / NSOPS Historical review Haemangiopericytoma (HPC) first described primarily as a soft tissue vascular tumour of pericytic

More information

Disease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200

Disease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200 GUIDE TO ASBESTOS LUNG CANCER What Is Asbestos Lung Cancer? Like tobacco smoking, exposure to asbestos can result in the development of lung cancer. Similarly, the risk of developing asbestos induced lung

More information

INFLAMMATORY PLEURAL EFFUSION

INFLAMMATORY PLEURAL EFFUSION PLEURA- LESIONS LESIONS OF PLEURA Primary Intra pleural bacterial infections Neoplasm (mesothelioma) Secondary A complication of some underlying disease PLEURAL EFFUSION Common manifestation of both primary

More information

Round Table with Drs. Anne Tsao and Alex Farivar, Case 2: Mesothelioma

Round Table with Drs. Anne Tsao and Alex Farivar, Case 2: Mesothelioma Round Table with Drs. Anne Tsao and Alex Farivar, Case 2: Mesothelioma I d like to welcome everyone, thanks for coming out to our lunch with experts. The faculty today are great people in the thoracic

More information

HOW TO READ A CHEST X-RAY

HOW TO READ A CHEST X-RAY The Radiology of TB Michael Lauzardo, MD MSc Director, Southeastern National Tuberculosis Center Chief, Infectious Diseases and Global Medicine University of Florida Objectives How to read a Chest X-Ray

More information

Visit our Cancer InDepth Collection for details that go beyond the information in the Fact Sheets.

Visit our Cancer InDepth Collection for details that go beyond the information in the Fact Sheets. Conditions and Diseases Cancer En Español (Spanish Version) This collection focuses on conditions related to cancer. These comprehensive and concise factsheets are physician-reviewed and reflect the most

More information

Treatment Guide Lung Cancer Management

Treatment Guide Lung Cancer Management Treatment Guide Lung Cancer Management The Chest Cancer Center at Cleveland Clinic, which includes specialists from the Respiratory Institute, Taussig Cancer Institute and Miller Family Heart & Vascular

More information

There are a number of other carcinogens (cancer causing agents) that are believed to be associated with lung cancer, and are reviewed elsewhere.

There are a number of other carcinogens (cancer causing agents) that are believed to be associated with lung cancer, and are reviewed elsewhere. Lung Cancer What is cancer? First, some background on the way the body is built. Organs, like the heart, liver, and lung, are made up of tissues, such as blood vessels and muscle. Tissues, in turn, are

More information

More than 2,500 people are diagnosed with mesothelioma in the UK each year.

More than 2,500 people are diagnosed with mesothelioma in the UK each year. This information is an extract from the booklet Understanding mesothelioma. You may find the full booklet helpful. We can send you a free copy see page 5. Contents Introduction Pleural mesothelioma Peritoneal

More information

Malignant Mesothelioma Current Approaches to a Difficult Problem. Raja M Flores, MD Thoracic Surgery Memorial Sloan-Kettering Cancer Center

Malignant Mesothelioma Current Approaches to a Difficult Problem. Raja M Flores, MD Thoracic Surgery Memorial Sloan-Kettering Cancer Center Malignant Mesothelioma Current Approaches to a Difficult Problem Raja M Flores, MD Thoracic Surgery Memorial Sloan-Kettering Cancer Center Malignant Pleural Mesothelioma Clinical Presentation Insidious

More information

Lung Cancer: Diagnosis, Staging and Treatment

Lung Cancer: Diagnosis, Staging and Treatment PATIENT EDUCATION patienteducation.osumc.edu Lung Cancer: Diagnosis, Staging and Treatment Cancer begins in our cells. Cells are the building blocks of our tissues. Tissues make up the organs of the body.

More information

THYROID CANCER. I. Introduction

THYROID CANCER. I. Introduction THYROID CANCER I. Introduction There are over 11,000 new cases of thyroid cancer each year in the US. Females are more likely to have thyroid cancer than men by a ratio of 3:1, and it is more common in

More information

J of Evidence Based Med & Hlthcare, pissn- 2349-2562, eissn- 2349-2570/ Vol. 2/Issue 33/Aug. 17, 2015 Page 5063

J of Evidence Based Med & Hlthcare, pissn- 2349-2562, eissn- 2349-2570/ Vol. 2/Issue 33/Aug. 17, 2015 Page 5063 PERITONEAL MALIGNANT MESOTHELIOMA: A RARE S. R. Dhamotharan 1, S. Shanthi Nirmala 2, F. Celine Foustina Mary 3, M. Arul Raj Kumar 4, R. Vinothprabhu 5 HOW TO CITE THIS ARTICLE: S. R. Dhamotharan, S. Shanthi

More information

General Rules SEER Summary Stage 2000. Objectives. What is Staging? 5/8/2014

General Rules SEER Summary Stage 2000. Objectives. What is Staging? 5/8/2014 General Rules SEER Summary Stage 2000 Linda Mulvihill Public Health Advisor NCRA Annual Meeting May 2014 National Center for Chronic Disease Prevention and Health Promotion Division of Cancer Prevention

More information

Diagnostic Slide Session Case Jennifer Ziskin MD, PhD, and Edward D Plowey MD, PhD Stanford University, Stanford, CA

Diagnostic Slide Session Case Jennifer Ziskin MD, PhD, and Edward D Plowey MD, PhD Stanford University, Stanford, CA Diagnostic Slide Session Case 2015-2 Jennifer Ziskin MD, PhD, and Edward D Plowey MD, PhD Stanford University, Stanford, CA Clinical History: 18 year old woman with right facial pain and hyperalgesia Past

More information

Small Cell Lung Cancer

Small Cell Lung Cancer Small Cell Lung Cancer Types of Lung Cancer Non-small cell carcinoma (NSCC) (87%) Adenocarcinoma (38%) Squamous cell (20%) Large cell (5%) Small cell carcinoma (13%) Small cell lung cancer is virtually

More information

October 2012 Pulmonary Case of the Month: Hemoptysis from an Uncommon Cause. Lewis J. Wesselius, MD

October 2012 Pulmonary Case of the Month: Hemoptysis from an Uncommon Cause. Lewis J. Wesselius, MD October 2012 Pulmonary Case of the Month: Hemoptysis from an Uncommon Cause Lewis J. Wesselius, MD Department of Pulmonary Medicine Mayo Clinic Arizona Scottsdale, AZ History of Present Illness A 39 year

More information

.org. Osteochondroma. Solitary Osteochondroma

.org. Osteochondroma. Solitary Osteochondroma Osteochondroma Page ( 1 ) An osteochondroma is a benign (noncancerous) tumor that develops during childhood or adolescence. It is an abnormal growth that forms on the surface of a bone near the growth

More information

CHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc. Neoplasms (C00-D49) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS C00-C14 Malignant neoplasms of lip, oral cavity and pharynx C15-C26 Malignant neoplasms of digestive organs

More information

Lung Cancer: Diagnosis, Staging and Treatment

Lung Cancer: Diagnosis, Staging and Treatment PATIENT EDUCATION patienteducation.osumc.edu Lung Cancer: Diagnosis, Staging and Treatment Cancer starts in our cells. Cells are the building blocks of our tissues. Tissues make up the organs of the body.

More information

Chirurgie des métastases cérébrales. Dr Mark Dexter Head, Department of Neurosurgery The Westmead Hospitals

Chirurgie des métastases cérébrales. Dr Mark Dexter Head, Department of Neurosurgery The Westmead Hospitals Chirurgie des métastases cérébrales Dr Mark Dexter Head, Department of Neurosurgery The Westmead Hospitals The Westmead patient population THE INCONVENIENT TRUTHS Cerebral metastases occur in 10 16 % of

More information

Work-up of Suspected Lung Cancer. Gordon Buduhan MD MSc FRCSC Section of Thoracic Surgery Lung Cancer Educational Program November 2013

Work-up of Suspected Lung Cancer. Gordon Buduhan MD MSc FRCSC Section of Thoracic Surgery Lung Cancer Educational Program November 2013 Work-up of Suspected Lung Cancer Gordon Buduhan MD MSc FRCSC Section of Thoracic Surgery Lung Cancer Educational Program November 2013 Presenter disclosure No conflicts to disclose Scope of the problem

More information

A912: Kidney, Renal cell carcinoma

A912: Kidney, Renal cell carcinoma A912: Kidney, Renal cell carcinoma General facts of kidney cancer Renal cell carcinoma, a form of kidney cancer that involves cancerous changes in the cells of the renal tubule, is the most common type

More information

Lung Cancer Treatment Guidelines

Lung Cancer Treatment Guidelines Updated June 2014 Derived and updated by consensus of members of the Providence Thoracic Oncology Program with the aid of evidence-based National Comprehensive Cancer Network (NCCN) national guidelines,

More information

ASBESTOS EXPOSURE AND SARCOMATOID MALIGNANT PLEURAL MESOTHELIOMA Gorantla Sambasivarao 1, Namballa Usharani 2, Tupakula Suresh Babu 3

ASBESTOS EXPOSURE AND SARCOMATOID MALIGNANT PLEURAL MESOTHELIOMA Gorantla Sambasivarao 1, Namballa Usharani 2, Tupakula Suresh Babu 3 ASBESTOS EXPOSURE AND SARCOMATOID MALIGNANT PLEURAL MESOTHELIOMA Gorantla Sambasivarao 1, Namballa Usharani 2, Tupakula Suresh Babu 3 HOW TO CITE THIS ARTICLE: Gorantla Sambasivarao, Namballa Usharani,

More information

THE PATHOLOGY OF MEDIASTINAL MASSES. Anatomic Distribution of Mediastinal Masses

THE PATHOLOGY OF MEDIASTINAL MASSES. Anatomic Distribution of Mediastinal Masses Page 1 of 5 THE PATHOLOGY OF MEDIASTINAL MASSES Dr. S. Boag 549-6666 Ext. 4190, mailto:%20boag@cliff.path.queensu.ca 1. INTRODUCTION A wide range of process, neoplastic and non-neoplastic, can produce

More information

The Proposed New International TNM Staging System for Malignant Pleural Mesothelioma: Application to Imaging

The Proposed New International TNM Staging System for Malignant Pleural Mesothelioma: Application to Imaging 323.....:. #{149} :. #{149}..: #{149}. #{149}. :- : Received June 22, 1995; accepted after revision September 12, 1995. 1 Department of Radiology, Duke University Medical Center, Box 3808, Dunham, NC 2771

More information

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available.

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available. Thymus Cancer Introduction Thymus cancer is a rare cancer. It starts in the small organ that lies in the upper chest under the breastbone. The thymus makes white blood cells that protect the body against

More information

Recommendations for cross-sectional imaging in cancer management, Second edition

Recommendations for cross-sectional imaging in cancer management, Second edition www.rcr.ac.uk Recommendations for cross-sectional imaging in cancer management, Second edition Breast cancer Faculty of Clinical Radiology www.rcr.ac.uk Contents Breast cancer 2 Clinical background 2 Who

More information

A Diagnostic Chest XRay: Multiple Myeloma

A Diagnostic Chest XRay: Multiple Myeloma Daniela Marinho Tridente, VI FCMSCSP October 2013 A Diagnostic Chest XRay: Multiple Myeloma Daniela Marinho Tridente, VI FCMSCSP Our Learning Agenda Introduction of our patient His imaging data and findings

More information

MANAGEMENT OF BENIGN BONE TUMORS

MANAGEMENT OF BENIGN BONE TUMORS MANAGEMENT OF BENIGN BONE TUMORS HISTORY AND EXAMINATION An adequate history and physical examination are the first and most important steps in evaluating a patient with a musculoskeletal tumor PRESENTING

More information

Nuclear Medicine Subgroup. Faculty of Radiologists. Royal College of Surgeons in Ireland INDICATIONS FOR PET/CT IMAGING

Nuclear Medicine Subgroup. Faculty of Radiologists. Royal College of Surgeons in Ireland INDICATIONS FOR PET/CT IMAGING Nuclear Medicine Subgroup Faculty of Radiologists Royal College of Surgeons in Ireland INDICATIONS FOR PET/CT IMAGING Report November 2010 Indications for PET/CT Imaging Bladder Carcinoma Staging for nodal

More information

Pediatric Oncology for Otolaryngologists

Pediatric Oncology for Otolaryngologists Pediatric Oncology for Otolaryngologists Frederick S. Huang, M.D. Division of Hematology/Oncology Department of Pediatrics The University of Texas Medical Branch Grand Rounds Presentation to Department

More information

SUNY DOWNSTATE MEDICAL CENTER SURGERY GRAND ROUNDS February 28, 2013 VERENA LIU, MD ROSEANNA LEE, MD

SUNY DOWNSTATE MEDICAL CENTER SURGERY GRAND ROUNDS February 28, 2013 VERENA LIU, MD ROSEANNA LEE, MD SUNY DOWNSTATE MEDICAL CENTER SURGERY GRAND ROUNDS February 28, 2013 VERENA LIU, MD ROSEANNA LEE, MD Case Presentation 35 year old male referred from PMD with an asymptomatic palpable right neck mass PMH/PSH:

More information

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too.

Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Male Breast Cancer Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Many people do not know that men can get breast

More information

IgG4-RELATED LUNG DISEASE. Erik Baltaxe Institute of Pulmonary Diseases Chaim Sheba Medical Center

IgG4-RELATED LUNG DISEASE. Erik Baltaxe Institute of Pulmonary Diseases Chaim Sheba Medical Center IgG4-RELATED LUNG DISEASE Erik Baltaxe Institute of Pulmonary Diseases Chaim Sheba Medical Center Case Presentations Case Age / Sex Initial Presentation Associated Conditions 1 44 / F Cough, shortness

More information

Mesothelioma. Malignant Pleural Mesothelioma

Mesothelioma. Malignant Pleural Mesothelioma Mesothelioma William G. Richards, PhD Brigham and Women s Hospital Malignant Pleural Mesothelioma 2,000-3,000 cases per year (USA) Increasing incidence Asbestos (50-80%, decreasing) 30-40 year latency

More information

Malignant Lymphomas and Plasma Cell Myeloma

Malignant Lymphomas and Plasma Cell Myeloma Malignant Lymphomas and Plasma Cell Myeloma Dr. Bruce F. Burns Dept. of Pathology and Lab Medicine Overview definitions - lymphoma lymphoproliferative disorder plasma cell myeloma pathogenesis - translocations

More information

Lung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.

Lung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available. Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigarette

More information

MALIGNANT SOFT-TISSUE TUMOURS. Greg Sterling July 1999

MALIGNANT SOFT-TISSUE TUMOURS. Greg Sterling July 1999 MALIGNANT SOFT-TISSUE TUMOURS Greg Sterling July 1999 MALIGNANT SOFT TISSUE TUMOURS Synovial Sarcoma Epithelioid Sarcoma Liposarcoma Malignant Fibrous Histiocytoma Fibrosarcoma Rhabdomyosarcoma Malignant

More information

MESOTHELIOMA. Not Just a Late Night Commercial. Graciela Hoal, RN, MSN, ACNP-BC

MESOTHELIOMA. Not Just a Late Night Commercial. Graciela Hoal, RN, MSN, ACNP-BC MESOTHELIOMA Not Just a Late Night Commercial Graciela Hoal, RN, MSN, ACNP-BC Saturday Session Thoracic Surgery Nurse Practitioner Greater Los Angeles Veteran Affairs Objectives Course Objectives: Discuss

More information

EXTREME. Orthopedic. For appointments contact: Opp to Big Bazaar, Kukatpally, Hyderabad

EXTREME. Orthopedic. For appointments contact: Opp to Big Bazaar, Kukatpally, Hyderabad EXTREME For appointments contact: Opp to Big Bazaar, Kukatpally, Hyderabad Orthopedic W h a t a r e t h e t y p e s o f t h e B o n e C a n c e r? Bone Cancer is of two types 1. Primary Bone Cancer Here

More information

Treatment of mesothelioma in Bloemfontein, South Africa

Treatment of mesothelioma in Bloemfontein, South Africa European Journal of Cardio-thoracic Surgery 24 (2003) 434 440 www.elsevier.com/locate/ejcts Treatment of mesothelioma in Bloemfontein, South Africa W.J. de Vries*, M.A. Long Cardiothoracic Department,

More information

95% of childhood kidney cancer cases are Wilms tumours. Childhood kidney cancer is extremely rare, with only 90 cases a year in

95% of childhood kidney cancer cases are Wilms tumours. Childhood kidney cancer is extremely rare, with only 90 cases a year in James Whale Fund for Kidney Cancer Childhood kidney cancer factsheet Kidney cancer rarely afflicts children and about 90 paediatric cases are diagnosed in the UK each year. About 75% of childhood kidney

More information

Osteosarcoma What are the differences between cancers in adults and children?

Osteosarcoma What are the differences between cancers in adults and children? Osteosarcoma What are the differences between cancers in adults and children? The types of cancers that develop in children and teens are often different from the types that develop in adults. Childhood

More information

General Information About Non-Small Cell Lung Cancer

General Information About Non-Small Cell Lung Cancer General Information About Non-Small Cell Lung Cancer Non-small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing

More information

Imaging of pleural and chest wall tumors

Imaging of pleural and chest wall tumors Thorac Surg Clin 14 (2004) 15 23 Imaging of pleural and chest wall tumors Michael J. Weyant, MD a, Raja M. Flores, MD a,b, * a Cardiothoracic Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York

More information