Abstract
This study describes the diffuse neoplastic conditions that may affect pleural membranes. These include mesothelioma, the most important and common malignancy of pleural origin, and metastatic involvement by carcinomas, lymphomas and thymomas. On the basis of diagnostic imaging, we identify the distinctive features of pleural involvement by each of these conditions and provide elements enabling accurate differential diagnosis. Finally, we discuss the best diagnostic approach in the case of suspected primary or secondary neoplastic involvement of pleural membranes.
Riassunto
Questa trattazione illustra le patologie neoplastiche diffuse che coinvolgono a vario titolo i foglietti pleurici. Il mesotelioma è la prima neoplasia di origine pleurica per frequenza ed importanza, di seguito analizzeremo gli aspetti peculiari anche dell’interessamento metastatico della pleura da parte di carcinomi, linfomi e timomi. Attraverso le varie diagnostiche radiologiche cercheremo di cogliere gli aspetti peculiari dell’interessamento pleurico da parte di ciascuna di esse e gli spunti utili ad una corretta diagnosi differenziale. Infine analizzeremo quale può essere il corretto iter diagnostico nel sospetto di interessamento neoplastico, primitivo o secondario, dei foglietti pleurici.
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Cardinale, L., Ardissone, F., Asteggiano, F. et al. Diffuse neoplasms of the pleural serosa. Radiol med 118, 366–378 (2013). https://doi.org/10.1007/s11547-012-0877-8
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DOI: https://doi.org/10.1007/s11547-012-0877-8