Neoplastic Pathology at the Crossroads Between Neck Imaging and Cardiothoracic Imaging

Overview

Journal Insights Imaging

Publisher Springer

Specialty Radiology

Date 2020 Jul 10

PMID 32643039

Authors

Patricia E Melendez

Trinh T Nguyen

Alok A Bhatt

Katherine Kaproth-Joslin

Affiliations

Soon will be listed here.

Abstract

The thoracic inlet is located at the crossroads between imaging of the neck and the chest. Its location is an important anatomic landmark, serving as the central conducting pathway for many vital structures extending from the neck into the chest and vice versa. Many critical body systems, including the respiratory, lymphatic, neurologic, enteric, musculoskeletal, endocrine, and vascular systems, are located within this region. Neoplasms, both benign and malignant, can arise in any of the body systems located in this area. Due to the small size of this anatomic location, pathology is easily overlooked and imagers should be aware of the imaging appearance of these neoplasms, as well as which imaging modality is the most appropriate for neoplasm evaluation. This article will present an image rich, system-based discussion of the neoplastic pathology that can occur in this region. The anatomy of the thoracic inlet and the non-neoplastic pathology of the thoracic inlet have been covered in our companion article.

References

Nakamura H, Saji H, Shinmyo T, Tagaya R, Kurimoto N, Koizumi H . Close association of IASLC/ATS/ERS lung adenocarcinoma subtypes with glucose-uptake in positron emission tomography. Lung Cancer. 2014; 87(1):28-33. DOI: 10.1016/j.lungcan.2014.11.010. View

Noh H, Fishman E, Forastiere A, Bliss D, Calhoun P . CT of the esophagus: spectrum of disease with emphasis on esophageal carcinoma. Radiographics. 1995; 15(5):1113-34. DOI: 10.1148/radiographics.15.5.7501854. View

Lee K, Oh Y, Noh H, Lee Y, Yong H, Kang E . Extraadrenal paragangliomas of the body: imaging features. AJR Am J Roentgenol. 2006; 187(2):492-504. DOI: 10.2214/AJR.05.0370. View

Derkay C, Wiatrak B . Recurrent respiratory papillomatosis: a review. Laryngoscope. 2008; 118(7):1236-47. DOI: 10.1097/MLG.0b013e31816a7135. View

De Cicco C, Bellomi M, Bartolomei M, Carbone G, Pelosi G, Veronesi G . Imaging of lung hamartomas by multidetector computed tomography and positron emission tomography. Ann Thorac Surg. 2008; 86(6):1769-72. DOI: 10.1016/j.athoracsur.2008.08.033. View

King A . Imaging for staging and management of thyroid cancer. Cancer Imaging. 2008; 8:57-69. PMC: 2324369. DOI: 10.1102/1470-7330.2008.0007. View

Travis W, Brambilla E, Burke A, Marx A, Nicholson A . Introduction to The 2015 World Health Organization Classification of Tumors of the Lung, Pleura, Thymus, and Heart. J Thorac Oncol. 2015; 10(9):1240-1242. DOI: 10.1097/JTO.0000000000000663. View

Yue J, Chen J, Zhou F, Hu Y, Li M, Wu Q . CT-pathologic correlation in lung adenocarcinoma and squamous cell carcinoma. Medicine (Baltimore). 2018; 97(50):e13362. PMC: 6320064. DOI: 10.1097/MD.0000000000013362. View

Gupta P, Potti T, Wuertzer S, Lenchik L, Pacholke D . Spectrum of Fat-containing Soft-Tissue Masses at MR Imaging: The Common, the Uncommon, the Characteristic, and the Sometimes Confusing. Radiographics. 2016; 36(3):753-66. DOI: 10.1148/rg.2016150133. View

10.

Bestic J, Peterson J, Bancroft L . Pediatric FDG PET/CT: Physiologic uptake, normal variants, and benign conditions [corrected]. Radiographics. 2009; 29(5):1487-500. DOI: 10.1148/rg.295095024. View

11.

Lopez F, Rodrigo J, Silver C, Haigentz Jr M, Bishop J, Strojan P . Cervical lymph node metastases from remote primary tumor sites. Head Neck. 2015; 38 Suppl 1:E2374-85. PMC: 4991634. DOI: 10.1002/hed.24344. View

12.

Levine M . Benign tumors of the esophagus: radiologic evaluation. Semin Thorac Cardiovasc Surg. 2003; 15(1):9-19. DOI: 10.1016/s1043-0679(03)00003-0. View

13.

Godard J, McCranie D . Multiple leiomyomas of the esophagus. Am J Roentgenol Radium Ther Nucl Med. 1973; 117(2):259-62. DOI: 10.2214/ajr.117.2.259. View

14.

Dynes M, White E, Fry W, Ghahremani G . Imaging manifestations of pleural tumors. Radiographics. 1992; 12(6):1191-201. DOI: 10.1148/radiographics.12.6.1439021. View

15.

Liu Y . Clinical significance of thyroid uptake on F18-fluorodeoxyglucose positron emission tomography. Ann Nucl Med. 2009; 23(1):17-23. DOI: 10.1007/s12149-008-0198-0. View

16.

Anil G, Tan T . Imaging characteristics of schwannoma of the cervical sympathetic chain: a review of 12 cases. AJNR Am J Neuroradiol. 2010; 31(8):1408-12. PMC: 7966108. DOI: 10.3174/ajnr.A2212. View

17.

Murphey M, Senchak L, Mambalam P, Logie C, Klassen-Fischer M, Kransdorf M . From the radiologic pathology archives: ewing sarcoma family of tumors: radiologic-pathologic correlation. Radiographics. 2013; 33(3):803-31. DOI: 10.1148/rg.333135005. View

18.

Hoang J, Langer J, Middleton W, Wu C, Hammers L, Cronan J . Managing incidental thyroid nodules detected on imaging: white paper of the ACR Incidental Thyroid Findings Committee. J Am Coll Radiol. 2014; 12(2):143-50. DOI: 10.1016/j.jacr.2014.09.038. View

19.

Yuan W, Chiou H, Chou Y, Hsu H, Tiu C, Cheng C . Gray-scale and color Doppler ultrasonographic manifestations of papillary thyroid carcinoma: analysis of 51 cases. Clin Imaging. 2006; 30(6):394-401. DOI: 10.1016/j.clinimag.2006.09.024. View

20.

Bruzzi J, Komaki R, Walsh G, Truong M, Gladish G, Munden R . Imaging of non-small cell lung cancer of the superior sulcus: part 2: initial staging and assessment of resectability and therapeutic response. Radiographics. 2008; 28(2):561-72. DOI: 10.1148/rg.282075710. View