Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Naidich, D. P.
Right arrow Articles by Schinella, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Naidich, D. P.
Right arrow Articles by Schinella, R.

Chest, Vol 96, 723-728, Copyright © 1989 by American College of Chest Physicians

ARTICLES

Kaposi's sarcoma. CT-radiographic correlation

DP Naidich, M Tarras, SM Garay, B Birnbaum, BJ Rybak and R Schinella
NYU Medical Center/Bellevue Hospital.

The role of CT in the diagnosis of intrathoracic Kaposi's sarcoma (KS) was evaluated retrospectively in 24 patients, in the absence of coexistent opportunistic infections. In all cases the diagnosis of KS was initially established by histologic evaluation of extrathoracic disease: 15 patients had verified parenchymal KS and nine patients endobronchial KS. (Chest roentgenograms were analyzed separately for each group: in 14 patients serial films were available for review. The predominant radiographic findings was the presence of nonspecific, bilateral, perihilar infiltrates in 22 of 24 cases (92 percent). Corresponding CT scans documented the presence of abnormal hilar densities characteristically extending into the adjacent pulmonary parenchyma along distinctly perivascular and peribronchial pathways. Discrete, poorly marginated nodules were identified radiographically in ten cases (42 percent); these proved to be randomly distributed throughout the parenchyma on CT. Radiographic evidence of mediastinal adenopathy was distinctly unusual, seen in only two cases (8 percent). While CT typically demonstrated shotty adenopathy, significantly enlarged nodes (greater than 1 cm) were rarely identified. We concluded that CT is more specific than routine roentgenograms for identifying pulmonary KS. While not pathognomonic, peribronchial and perivascular disease is sufficiently characteristic to obviate more invasive diagnostic procedures, especially in patients with established KS.


This article has been cited by other articles:


Home page
 RadiologyHome page
Y. W. Oh, E. L. Effmann, and J. D. Godwin
Pulmonary Infections in Immunocompromised Hosts: The Importance of Correlating the Conventional Radiologic Appearance with the Clinical Setting
Radiology, December 1, 2000; 217(3): 647 - 656.
[Abstract] [Full Text]

Home page
 ChestHome page
L. B. Haramati and J. Wong
Intrathoracic Kaposi’s Sarcoma in Women With AIDS
Chest, February 1, 2000; 117(2): 410 - 414.
[Abstract] [Full Text] [PDF]

Home page
 BMJHome page
S. Worthy
High resolution computed tomography of the lungs
BMJ, March 11, 1995; 310(6980): 616 - 616.
[Full Text]

Home page
 NEJMHome page
J. L. Brusch and E. J. Mark
Case 34-1993- A 36-Year-Old Man with AIDS and Respiratory Failure
N. Engl. J. Med., August 26, 1993; 329(9): 645 - 653.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1989 by the American College of Chest Physicians.