Daniel Barnes MD, Presenter: Nothing to Disclose

Marcelo Antonio Sanchez Gonzalez MD, Abstract Co-Author: Nothing to Disclose

Mariana Nelida Benegas Urteaga MD, Abstract Co-Author: Nothing to Disclose

Oscar Sabino Chirife Chaparro MD, Abstract Co-Author: Nothing to Disclose

Teresa Maria Caralt, Abstract Co-Author: Nothing to Disclose

Rosario Jesus Perea MD, PhD, Abstract Co-Author: Nothing to Disclose

-Pleural mesothelioma is a rare neoplasm with high mortality. Asbestos exposure is decreasing but the incidence is expected to increase due to past expositions. -Radiologists must be aware detecting and managing malignant pleural thickening or effusion to avoid delays in diagnosis and treatment. - We observed that sarcomatoid mesothelioma is more aggressive that epithelioid mesothelioma, as different clinical studies suggests, and they have different radiological appearances -CT-guided biopsy is a good diagnostic technique, with similar performance to VTC with lower rate of track seeding. -New TNM allows some patients who would had received a palliative treatment before, at the present time may opt for a treatment with curative intent.  

1) Introduction 2) Asbestos and mesothelioma Pleural plaques Prevalence of exposure Non exposed patients 3) Histological classification Epithelioid Sarcomatoid 4) Imaging techniques MDCT PET-CT 5) Differential diagnosis Diffuse pleural thickening: metastases, tuberculosis, sarcoidosis, chronic pleuritis, limfoma Other pleural lesions 6) Histological analysis Cytology CT-guided biopsy Surgical biopsy (VTC) 7) Pleural thickening, Diagnostic and management algorythm 8) New TNM classification 9) Therapeutic approach and upcoming challenges  

http://abstract.rsna.org/uploads/2014/14017058/14017058_b1zm.pdf

Barnes, D, Sanchez Gonzalez, M, Benegas Urteaga, M, Chirife Chaparro, O, Caralt, T, Perea, R, Mesothelioma: Radiologic Features, Differential Diagnosis and Management.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017058.html