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Titolo:
Mediastinal lymphadenopathy in pulmonary fibrosis: Correlation with disease severity
Autore:
Jung, JI; Kim, HH; Jung, YJ; Park, SH; Lee, JM; Hahn, ST;
Indirizzi:
Catholic Univ Korea, Coll Med, St Marys Hosp, Dept Radiol, Seoul, South Korea Catholic Univ Korea Seoul South Korea , Dept Radiol, Seoul, South Korea
Titolo Testata:
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY
fascicolo: 5, volume: 24, anno: 2000,
pagine: 706 - 710
SICI:
0363-8715(200009/10)24:5<706:MLIPFC>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFILTRATIVE LUNG-DISEASE; GROUND-GLASS ATTENUATION; HIGH-RESOLUTION CT; THIN-SECTION CT; COMPUTED-TOMOGRAPHY; ALVEOLITIS; DIFFUSE;
Keywords:
lungs, diseases; infiltrative lung diseases; mediastinum, CT; lymphatic system, CT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Jung, JI 62 Yeouido Dong, Seoul 150010, South Korea 62 Yeouido Dong Seoul South Korea 150010 ul 150010, South Korea
Citazione:
J.I. Jung et al., "Mediastinal lymphadenopathy in pulmonary fibrosis: Correlation with disease severity", J COMPUT AS, 24(5), 2000, pp. 706-710

Abstract

Objective: To evaluate the relationship between mediastinal lymph node enlargement and disease severity score in patients with pulmonary fibrosis. Materials and Methods: A retrospective study included 30 patients with pulmonary fibrosis: idiopathic pulmonary fibrosis (n = 25), usual interstitialpneumonia (UIP) associated with collagen vascular disease (n = 4), and UIPassociated with hepatitis C (n = 1). Disease severity was determined by a computed tomography (CT) scoring system. Each patient's lobe was scored by two radiologists on a scale of 0-5 for both ground glass opacity (GGO) and fibrosis. The presence, number, and sites of enlarged nodes (short axis greater than or equal to 10 mm) were assessed. CT severity scores were compared with total number of enlarged lymph nodes (L/Ns) and short axis diameter of the largest L/N (LLN). According to each severity score, patients were divided into two groups: the GGO-predominant group (n = 10) and the fibrosis-predominant group (n = 20). Total numbers of enlarged L/Ns and short axis diameter of LLN were compared in each group. Results: Enlarged mediastinal L/Ns were present in 86%. Total severity score, GGO score, and fibrosis score strongly correlated with total number of enlarged L/Ns (p < 0.05). Total severity score and GGO score correlated well with short axis diameter of LLN; however, the fibrosis score did not correlate with the short axis diameter of LLN. In respect to total number of enlarged L/Ns, the difference between the GGO group and fibrosis group was not apparent. In respect to the short axis diameter of LLN, the GGO group LLNwas larger in diameter than the fibrosis group LLN (p < 0.05). Conclusion: The greater the severity score of pulmonary fibrosis, the larger the total number of enlarged L/Ns. Those patients with more GGO had larger lymph nodes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 19:21:51