Focal pleural thickening mimicking pleural plaques on chest computed tomography: tips and tricks.

Détails

ID Serval
serval:BIB_F75A88DCA845
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Focal pleural thickening mimicking pleural plaques on chest computed tomography: tips and tricks.
Périodique
The British journal of radiology
Auteur(s)
Alfudhili K.M., Lynch D.A., Laurent F., Ferretti G.R., Dunet V., Beigelman-Aubry C.
ISSN
1748-880X (Electronic)
ISSN-L
0007-1285
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
89
Numéro
1057
Pages
20150792
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Diagnosis of pleural plaques (PPs) is commonly straightforward, especially when a typical appearance is observed in a context of previous asbestos exposure. Nevertheless, numerous causes of focal pleural thickening may be seen in routine practice. They may be related to normal structures, functional pleural thickening, previous tuberculosis, pleural metastasis, silicosis or other rarer conditions. An application of a rigorous technical approach as well as a familiarity with loco-regional anatomy and the knowledge of typical aspects of PP are required. Indeed, false-positive or false-negative results may engender psychological and medico-legal consequences or can delay diagnosis of malignant pleural involvement. Correct recognition of PPs is crucial, as they may also be an independent risk factor for mortality from lung cancer in asbestos-exposed workers particularly in either smokers or former/ex-smokers. Finally, the presence of PP(s) may help in considering asbestosis as a cause of interstitial lung disease predominating in the subpleural area of the lower lobes. The aim of this pictorial essay is to provide a brief reminder of the normal anatomy of the pleura and its surroundings as well as the various aspects of PPs. Afterwards, the common pitfalls encountered in PP diagnosis will be emphasized and practical clues to differentiate actual plaque and pseudoplaque will be concisely described.

Mots-clé
Asbestosis/diagnostic imaging, Humans, Pleura/diagnostic imaging, Pleural Diseases/diagnostic imaging, Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
25/11/2015 18:28
Dernière modification de la notice
03/03/2018 22:50
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