ABSTRACT
TITLE: Leucoencefalopatia multifocal progresiva y disfuncion inmune no especificada.
Subject(s)
Immunocompromised Host , Leukoencephalopathy, Progressive Multifocal/immunology , Aged , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Diagnosis, Differential , Fatal Outcome , Female , Genes, BRCA2 , Humans , JC Virus/isolation & purification , JC Virus/physiology , Leukemia, Lymphocytic, Chronic, B-Cell/complications , Leukemia, Lymphocytic, Chronic, B-Cell/immunology , Leukoencephalopathy, Progressive Multifocal/diagnosis , Leukoencephalopathy, Progressive Multifocal/virology , Neoplasms, Multiple Primary/complications , Neoplasms, Multiple Primary/drug therapy , Neoplasms, Multiple Primary/genetics , Neoplasms, Multiple Primary/immunology , Neoplastic Syndromes, Hereditary/complications , Neoplastic Syndromes, Hereditary/drug therapy , Neoplastic Syndromes, Hereditary/immunology , Neuroimaging , Stroke, Lacunar/diagnosis , Virus ActivationABSTRACT
En esta última década se han producido avances importantes en el diagnóstico y tratamiento del cáncer de pulmón que han permitido mejorar su pronóstico. Por ello, la Sociedad Española de Radiología Médica (SERAM) y la Sociedad Española de Oncología Médica (SEOM) han elaborado un documento de consenso nacional para hacer recomendaciones sobre el diagnóstico radiológico y la valoración de la respuesta terapéutica en pacientes con cáncer de pulmón. Este grupo de expertos recomienda la tomografía computarizada multidetector (TCMD) como la técnica de elección para estudiar esta enfermedad, y respecto al informe radiológico incluir una valoración completa siguiendo el sistema de estadificación TNM. Por último, cuando el paciente reciba inmunoterapia, además de usar los criterios para evaluar la respuesta en tumores sólidos (Response Evaluation Criteria in Solid Tumors [RECIST 1.1]) también habrá que usar los criterios de respuesta inmunológica (Immune-Related Response Criteria [irRC]) (AU)
The last decade has seen substantial progress in the diagnostic and therapeutic approach to lung cancer, thus meaning that its prognosis has improved. The Spanish Society of Medical Radiology (SERAM) and the Spanish Society of Medical Oncology (SEOM) have therefore produced a national consensus statement in order to make recommendations for radiological diagnosis and assessment of treatment response in patients with lung cancer. This expert group recommends multi-detector computed tomography (MDCT) as the technique of choice for investigating this disease. The radiology report should include a full assessment by the TNM staging system. Lastly, when the patient is on immunotherapy, response evaluation should employ not only Response Evaluation Criteria in Solid Tumours (RECIST 1.1) but also Immune-Related Response Criteria (irRC) (AU)
Subject(s)
Female , Humans , Male , Lung Neoplasms , Immunotherapy/methods , Immunotherapy , Neoplasm Staging/methods , Neoplasm Staging , Radiology Information Systems , Societies, Medical/organization & administration , Societies, Medical/standards , Societies, Medical , Prognosis , Radiography/methodsABSTRACT
The last decade has seen substantial progress in the diagnostic and therapeutic approach to lung cancer, thus meaning that its prognosis has improved. The Spanish Society of Medical Radiology and the Spanish Society of Medical Oncology have therefore produced a national consensus statement to make recommendations for radiological diagnosis and assessment of treatment response in patients with lung cancer. This expert group recommends multi-detector computed tomography as the technique of choice for investigating this disease. The radiology report should include a full assessment by the TNM staging system. Lastly, when the patient is on immunotherapy, response evaluation should employ not only response evaluation criteria in solid tumours, but also immune-related response criteria (AU)
No disponible
Subject(s)
Humans , Male , Female , Technology, Radiologic/trends , Lung Neoplasms , Societies, Medical/organization & administration , Societies, Medical/standards , Consensus Development Conferences as Topic , Gadolinium , Societies, Medical , Multidetector Computed Tomography/methods , Multidetector Computed Tomography/trends , Multidetector Computed Tomography , Neoplasms, Multiple Primary , Pulmonary FibrosisABSTRACT
The last decade has seen substantial progress in the diagnostic and therapeutic approach to lung cancer, thus meaning that its prognosis has improved. The Spanish Society of Medical Radiology and the Spanish Society of Medical Oncology have therefore produced a national consensus statement to make recommendations for radiological diagnosis and assessment of treatment response in patients with lung cancer. This expert group recommends multi-detector computed tomography as the technique of choice for investigating this disease. The radiology report should include a full assessment by the TNM staging system. Lastly, when the patient is on immunotherapy, response evaluation should employ not only response evaluation criteria in solid tumours, but also immune-related response criteria.
Subject(s)
Lung Neoplasms/diagnostic imaging , Lung Neoplasms/therapy , Radiology/methods , Consensus Development Conferences as Topic , Fibrosis , Humans , Immunotherapy/methods , Lung Neoplasms/diagnosis , Medical Oncology , Multidetector Computed Tomography , Necrosis , Neoplasm Staging , Perfusion , Prognosis , Radiation Pneumonitis , Radiology/organization & administration , Societies, Medical , Spain , Treatment OutcomeABSTRACT
The last decade has seen substantial progress in the diagnostic and therapeutic approach to lung cancer, thus meaning that its prognosis has improved. The Spanish Society of Medical Radiology (SERAM) and the Spanish Society of Medical Oncology (SEOM) have therefore produced a national consensus statement in order to make recommendations for radiological diagnosis and assessment of treatment response in patients with lung cancer. This expert group recommends multi-detector computed tomography (MDCT) as the technique of choice for investigating this disease. The radiology report should include a full assessment by the TNM staging system. Lastly, when the patient is on immunotherapy, response evaluation should employ not only Response Evaluation Criteria in Solid Tumours (RECIST 1.1) but also Immune-Related Response Criteria (irRC).
Subject(s)
Lung Neoplasms/diagnostic imaging , Multidetector Computed Tomography , Humans , Lung Neoplasms/therapy , Radiology , Records , Societies, Medical , Spain , Treatment OutcomeABSTRACT
Bronchoscopic identification of an endobronchial foreign body is an unexpected finding in adults. Modern imaging techniques such as computerised tomography (CT) may identify bronchial obstruction but not the cause. Moreover, images may be suggestive of other pathologies, especially when the previous aspiration cases are unknown. The most common CT findings in this setting are atelectasis, lung hyperlucency, localised bronchiectases and lobar consolidation. CT diagnosis of false endobronchial tumors in patients who have swallowed a foreign body is rarely described in the bibliography. In view of the potential adverse outcome in the case of wrong diagnosis we consider it is of interest to report two cases of endobronchial tumors diagnosed by CT in which flexible bronchoscopy allowed identification and extraction of an endobronchial foreign body.
Subject(s)
Bronchi , Bronchial Neoplasms/diagnostic imaging , Bronchoscopy , Diagnostic Errors , Foreign Bodies/diagnosis , Tomography, X-Ray Computed , Aged , Humans , Male , Middle AgedABSTRACT
La identificación mediante broncoscopia de uncuerpo extraño endobronquial es a menudo unhallazgo no esperado entre los adultos. Enocasiones, las más modernas técnicas de imagen,como la tomografía computarizada (TC), aunquepueden identificar la ocupación bronquial, nopermiten reconocer su naturaleza e incluso puedensimular otro tipo de patologías, sobre todo cuandose desconoce el antecedente de aspiración. Loshallazgos más habituales en la TC suelen ser lasatelectasias, la hiperclaridad pulmonar, lasbronquiectasias localizadas y la consolidación lobar.El falso diagnóstico de tumoración endobronquialpor TC, en sujetos que han sufrido la aspiración deun cuerpo extraño, se halla muy poco referido en laliteratura. Dadas las repercusiones pronósticas quepuede acarrear un diagnóstico incorrecto nos parecede interés reportar dos casos diagnosticados porTC de tumoración endobronquial y en los que lafibrobroncoscopia permitió la identificación y laextracción del cuerpo extraño endobronquial
Bronchoscopic identification of an endobronchialforeign body is an unexpected finding in adults.Modern imaging techniques such as computerisedtomography (CT) may identify bronchial obstructionbut not the cause. Moreover, images may besuggestive of other pathologies, especially when theprevious aspiration cases are unknown. The mostcommon CT findings in this setting are atelectasis,lung hyperlucency, localised bronchiectases andlobar consolidation. CT diagnosis of falseendobronchial tumors in patients who haveswallowed a foreign body is rarely described in thebibliography. In view of the potential adverseoutcome in the case of wrong diagnosis we considerit is of interest to report two cases of endobronchialtumors diagnosed by CT in which flexiblebronchoscopy allowed identification and extractionof an endobronchial foreign body
