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Published in: Insights into Imaging 1/2020

01-12-2020 | Computed Tomography | Educational Review

Neoplastic pathology at the crossroads between neck imaging and cardiothoracic imaging

Authors: Patricia E. Melendez, Trinh T. Nguyen, Alok A. Bhatt, Katherine Kaproth-Joslin

Published in: Insights into Imaging | Issue 1/2020

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Abstract

The thoracic inlet is located at the crossroads between imaging of the neck and the chest. Its location is an important anatomic landmark, serving as the central conducting pathway for many vital structures extending from the neck into the chest and vice versa. Many critical body systems, including the respiratory, lymphatic, neurologic, enteric, musculoskeletal, endocrine, and vascular systems, are located within this region. Neoplasms, both benign and malignant, can arise in any of the body systems located in this area. Due to the small size of this anatomic location, pathology is easily overlooked and imagers should be aware of the imaging appearance of these neoplasms, as well as which imaging modality is the most appropriate for neoplasm evaluation. This article will present an image rich, system-based discussion of the neoplastic pathology that can occur in this region. The anatomy of the thoracic inlet and the non-neoplastic pathology of the thoracic inlet have been covered in our companion article.
Literature
2.
go back to reference Bateson EM (1965) An analysis of 155 solitary lung lesions illustrating the differential diagnosis of mixed tumors of the lung. Clin Radiol 16:51–65CrossRef Bateson EM (1965) An analysis of 155 solitary lung lesions illustrating the differential diagnosis of mixed tumors of the lung. Clin Radiol 16:51–65CrossRef
6.
go back to reference Derkay C, Wiatrak B (2008) Recurrent respiratory papillomatosis a review. Laryngoscope 118:1236–1247CrossRef Derkay C, Wiatrak B (2008) Recurrent respiratory papillomatosis a review. Laryngoscope 118:1236–1247CrossRef
7.
go back to reference Woo JB, Lee K-J, Jeon K et al (2014) The clinical, radiological, and bronchoscopic findings and outcomes in patients with benign tracheobronchial tumors. Yonsei Med J 55(1):84–91CrossRef Woo JB, Lee K-J, Jeon K et al (2014) The clinical, radiological, and bronchoscopic findings and outcomes in patients with benign tracheobronchial tumors. Yonsei Med J 55(1):84–91CrossRef
8.
go back to reference Dynes M, White EM, Fry WA, Ghahremani GG (1992) Imaging manifestations of pleural tumors. Radiographics 12:1191–1201CrossRef Dynes M, White EM, Fry WA, Ghahremani GG (1992) Imaging manifestations of pleural tumors. Radiographics 12:1191–1201CrossRef
11.
go back to reference Janssen-Heijnen ML, Coebergh JW, Klinkhamer PJ, Schipper RM, Splinter TA, Mooi WJ (2001) Is there a common etiology for the rising incidence of and decreasing survival with adenocarcinoma of the lung. Epidemiology 12(2):256CrossRef Janssen-Heijnen ML, Coebergh JW, Klinkhamer PJ, Schipper RM, Splinter TA, Mooi WJ (2001) Is there a common etiology for the rising incidence of and decreasing survival with adenocarcinoma of the lung. Epidemiology 12(2):256CrossRef
12.
go back to reference Travis WD, Brambilla E, Noguchi M et al (2011) International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society International Multidisciplinary Classification of lung adenocarcinoma. J Thorac Oncol 6:244–285CrossRef Travis WD, Brambilla E, Noguchi M et al (2011) International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society International Multidisciplinary Classification of lung adenocarcinoma. J Thorac Oncol 6:244–285CrossRef
14.
go back to reference Cohen J, Reymond E, Lederlin M et al (2015) Differentiating pre- and minimally invasive from invasive adenocarcinoma using CT-features in persistent pulmonary part –solid nodules in Caucasian patients. Eur J Radiol 84:738–744CrossRef Cohen J, Reymond E, Lederlin M et al (2015) Differentiating pre- and minimally invasive from invasive adenocarcinoma using CT-features in persistent pulmonary part –solid nodules in Caucasian patients. Eur J Radiol 84:738–744CrossRef
16.
go back to reference Travis WD, Brambilla E, Burke AP, Marx A, Nicholson AG (2015) Introduction of the 2015 World Health Organization Classification of tumors of the lung, pleura, thymus, and heart. J Thorac Oncol 10:1240–1242CrossRef Travis WD, Brambilla E, Burke AP, Marx A, Nicholson AG (2015) Introduction of the 2015 World Health Organization Classification of tumors of the lung, pleura, thymus, and heart. J Thorac Oncol 10:1240–1242CrossRef
18.
go back to reference Yue J-Y, Chen J, Zhou F-M et al (2018) CT-pathologic correlation in lung adenocarcinoma and squamous cell carcinoma. Medicine (Baltimore) 97(50):e13362 1-5CrossRef Yue J-Y, Chen J, Zhou F-M et al (2018) CT-pathologic correlation in lung adenocarcinoma and squamous cell carcinoma. Medicine (Baltimore) 97(50):e13362 1-5CrossRef
21.
go back to reference Kuhlman J, Bouchardy L, Fishman EK, Zerhouni EA (1994) CT and MR imaging evaluation of chest wall disorders. Radiographics 14:571–595CrossRef Kuhlman J, Bouchardy L, Fishman EK, Zerhouni EA (1994) CT and MR imaging evaluation of chest wall disorders. Radiographics 14:571–595CrossRef
24.
go back to reference Johnson SA, Kumar A, Matasar MJ, Schöder H, Rademaker J (2015) Imaging for staging and response assessment in lymphoma. Radiology 276:323–338CrossRef Johnson SA, Kumar A, Matasar MJ, Schöder H, Rademaker J (2015) Imaging for staging and response assessment in lymphoma. Radiology 276:323–338CrossRef
25.
go back to reference Cronin C, Swords R, Truong MT et al (2010) Clinical utility of PET/CT in lymphoma. AJR Am J Roentgenol 194:W91–W103 0361-803X/10/1941-W91CrossRef Cronin C, Swords R, Truong MT et al (2010) Clinical utility of PET/CT in lymphoma. AJR Am J Roentgenol 194:W91–W103 0361-803X/10/1941-W91CrossRef
27.
go back to reference Sulimen Mohamed S, Singh M, Ajmeri AN, Stuart DL, Teka ST (2019) Virchow’s node: a case report of an extremely rare presentation of metastasis of adenocarcinoma with mucinous features from the colon. Int J Gen Med 12:137–140CrossRef Sulimen Mohamed S, Singh M, Ajmeri AN, Stuart DL, Teka ST (2019) Virchow’s node: a case report of an extremely rare presentation of metastasis of adenocarcinoma with mucinous features from the colon. Int J Gen Med 12:137–140CrossRef
28.
go back to reference Anil G, Tan TY (2010) Imaging characteristics of schwannoma of the cervical sympathetic chain: a review of 12 cases. AJNR Am J Neuroradiol 31:1408–1412CrossRef Anil G, Tan TY (2010) Imaging characteristics of schwannoma of the cervical sympathetic chain: a review of 12 cases. AJNR Am J Neuroradiol 31:1408–1412CrossRef
32.
go back to reference Kollias SS, Capper DM, Saupe N, Baráth K (2011) Spinal Tumor. imagine of the spine. Chapter 15:327–329 Kollias SS, Capper DM, Saupe N, Baráth K (2011) Spinal Tumor. imagine of the spine. Chapter 15:327–329
35.
go back to reference Levine M (2003) Benign tumors of the esophagus: radiologic evaluation. Semin Thorac Cardiovasc Surg 15(1):9–19CrossRef Levine M (2003) Benign tumors of the esophagus: radiologic evaluation. Semin Thorac Cardiovasc Surg 15(1):9–19CrossRef
36.
go back to reference Godard J, McCranie D (1973) Multiple leiomyomas of the esophagus. AJR Am J Roentgenol 117(2):259–262CrossRef Godard J, McCranie D (1973) Multiple leiomyomas of the esophagus. AJR Am J Roentgenol 117(2):259–262CrossRef
37.
go back to reference Nob HM, Fishman EK, Forastiere AA, Bliss DF, Calhoun PS (1995) CT of the Esophagus spectrum of disease with emphasis on esophageal carcinoma. Radiographics 15:1113–1134CrossRef Nob HM, Fishman EK, Forastiere AA, Bliss DF, Calhoun PS (1995) CT of the Esophagus spectrum of disease with emphasis on esophageal carcinoma. Radiographics 15:1113–1134CrossRef
38.
go back to reference Lewis R, Mehrotra AK, Rodriguez P, Levine MS (2013) From the radiologic pathology archives esophageal neoplasms: radiologic-pathologic correlation. Radiographics 33:1083–1108CrossRef Lewis R, Mehrotra AK, Rodriguez P, Levine MS (2013) From the radiologic pathology archives esophageal neoplasms: radiologic-pathologic correlation. Radiographics 33:1083–1108CrossRef
39.
go back to reference Murphey M, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000) From the archives of the AFIP imaging of osteochondroma: variants and complications with radiologic- pathologic correlation. Radiographics 20:1407–1434CrossRef Murphey M, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000) From the archives of the AFIP imaging of osteochondroma: variants and complications with radiologic- pathologic correlation. Radiographics 20:1407–1434CrossRef
40.
go back to reference Gupta P, Potti TA, Wuertzer SD, Lenchik L, Pacholke DA (2016) Spectrum of fat-containing soft-tissue masses at MR imaging: the common, the uncommon, the characteristic, and the sometimes confusing. Radiographics 36:753–766CrossRef Gupta P, Potti TA, Wuertzer SD, Lenchik L, Pacholke DA (2016) Spectrum of fat-containing soft-tissue masses at MR imaging: the common, the uncommon, the characteristic, and the sometimes confusing. Radiographics 36:753–766CrossRef
41.
go back to reference Murphey M, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ (2004) From the archives of the AFIP benign musculoskeletal lipomatous lessions. Radiographics 24:1433–1466CrossRef Murphey M, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ (2004) From the archives of the AFIP benign musculoskeletal lipomatous lessions. Radiographics 24:1433–1466CrossRef
42.
go back to reference O’Regan K, Jagannathan J, Krajewski K et al (2011) Imaging of Liposarcoma: Classification, patterns of tumor recurrence, and response to treatment. AJR Am J Roentgenol 197:W37–W43CrossRef O’Regan K, Jagannathan J, Krajewski K et al (2011) Imaging of Liposarcoma: Classification, patterns of tumor recurrence, and response to treatment. AJR Am J Roentgenol 197:W37–W43CrossRef
44.
go back to reference Murphey MD, Senchak LT, Mambalam PK, Logie CI, Klassen-Fischer MK, Kransdorf MJ (2013) From the radiologic pathology archives Ewing sarcoma family of tumors: radiologic- pathologic correlation. Radiographics 33:803–803CrossRef Murphey MD, Senchak LT, Mambalam PK, Logie CI, Klassen-Fischer MK, Kransdorf MJ (2013) From the radiologic pathology archives Ewing sarcoma family of tumors: radiologic- pathologic correlation. Radiographics 33:803–803CrossRef
47.
go back to reference Cozens N (2011) Thyroid and parathyroid. Clin Ultrasound Charpter 44:869–872 Cozens N (2011) Thyroid and parathyroid. Clin Ultrasound Charpter 44:869–872
48.
go back to reference Yeung M, Serpell J (2008) Management of the solitary thyroid nodule. Oncologist 13:105–112CrossRef Yeung M, Serpell J (2008) Management of the solitary thyroid nodule. Oncologist 13:105–112CrossRef
50.
go back to reference Liu Y (2009) Clinical significance of thyroid uptake on F18-fluorodeoxyglucose positron emission tomography. Ann Nucl Med 23:17CrossRef Liu Y (2009) Clinical significance of thyroid uptake on F18-fluorodeoxyglucose positron emission tomography. Ann Nucl Med 23:17CrossRef
52.
go back to reference Guichard J-P, Fakhry N, Franc J, Herman P, Righini C-A, Taieb D (2017) Morphological and functional imaging of neck paragangliomas. Eur Ann Otorhinolaryngol Head Neck Dis 134:243–248CrossRef Guichard J-P, Fakhry N, Franc J, Herman P, Righini C-A, Taieb D (2017) Morphological and functional imaging of neck paragangliomas. Eur Ann Otorhinolaryngol Head Neck Dis 134:243–248CrossRef
56.
go back to reference Pastushyn A, Slin’ko EI, MMirzoyeva G (1998) Vertebral hemangiomas: diagnosis, management, natural history and clinicopathological correlates in 86 patients. Surg Neurol 50:535–547CrossRef Pastushyn A, Slin’ko EI, MMirzoyeva G (1998) Vertebral hemangiomas: diagnosis, management, natural history and clinicopathological correlates in 86 patients. Surg Neurol 50:535–547CrossRef
Metadata
Title
Neoplastic pathology at the crossroads between neck imaging and cardiothoracic imaging
Authors
Patricia E. Melendez
Trinh T. Nguyen
Alok A. Bhatt
Katherine Kaproth-Joslin
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2020
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1186/s13244-020-00879-2

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