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Computed Tomography Appearances of Bronchogenic Carcinoma Associated With Bullous Lung Disease

Maki, Daisuke MD*; Takahashi, Masashi MD†; Murata, Kiyoshi MD†; Sawai, Satoru MD‡; Fujino, Syozo MD‡; Inoue, Syuhei MD§

Journal of Computer Assisted Tomography: May/June 2006 - Volume 30 - Issue 3 - pp 447-452
Thoracic Imaging: Pictorial Essay

Abstract: Bullous lung disease is known to be a risk factor for developing a bronchogenic carcinoma. In this article, computed tomography appearances of 20 patients with histologically proven bronchogenic carcinoma were reviewed retrospectively. On the basis of the previous literatures and our findings, the computed tomography appearances of bronchogenic carcinoma associated with bullous lung disease could be classified into 3 types; nodule or mass extruding from the bullous wall, nodule or mass confined within the bullous lumen, and soft-tissue density extending along the bullous wall. Attention should be paid in the interpretations for mass or nodule in the wall of the bulla because they frequently lack the characteristic appearances of bronchogenic carcinoma.

From the *Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Shikatacho 2-5-1, Okayama, Okayama, Japan; †Department of Radiology, Shiga University of Medical Science, Seta Tukinowacho, Otsu, Shiga, Japan; ‡Department of Thoracic Surgery, Shiga University of Medical Science, Seta Tukinowacho, Otsu, Shiga, Japan; and §Department of Thoracic Surgery, Shiga National Hospital, Gochicho 255, Higashi-Ohmi, Shiga, Japan.

Received for publication December 11, 2005; accepted February 9, 2006.

Reprints: Daisuke Maki, Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Shikatacho 2-5-1, Okayama, Okayama, Japan. (e-mail: daimaki525@ybb.ne.jp).

© 2006 Lippincott Williams & Wilkins, Inc.