Adel El-Badrawy
Mansoura University, Egypt
Title: Multi-detector computed tomography (MDCT) evaluation of twenty-two cases with synchronous primary solid double malignancies
Biography
Biography: Adel El-Badrawy
Abstract
Purpose: To review the multi detector CT fi ndings of twenty two cases with synchronous primary solid double malignancies. Material & Methods: Th is retrospective study included twenty-two patients confi rmed with diagnosis of synchronous primary solid double malignancies. Th ey were 12 women and 10 men with age ranging from 52–70 years. CT scanning was performed on one of the two systems (Brilliance 64; Philips) in 14 patients and (Emotion6, Siemens) in 8 patients. All twenty two patients underwent pathological evaluation. Results: Hepato-cellular carcinoma was detected in 11 patients. Non Hodgkin lymphoma was detected in 6 patients. Th yroid carcinoma was detected in 5 patients. Bronchogenic carcinoma was detected in 4 patients. Prostatic and renal carcinomas were detected in 3 patients. Hodgkin lymphoma, endometrial, ovarian and colonic and breast carcinomas were detected in each 2 patients. Uterine cervical carcinoma and cholangiocarcinoma were detected in each one patient. Regional metastatic lymphadenopathy was detected in 5 patients. Haematogenous metastatic was detected in 6 patients. Peritoneal spread was detected in one patient. Conclusion: MDCT scanning is accurately imaging modality for evaluation of synchronous primary solid double malignancies. It has proven to be the superior imaging technique when identifying tumor size, internal architecture, organ of origin, tissue invasion, vascular encasement, calcifi cations and metastases. Clinical application: More reports and accumulation of such cases should help to clarify the mechanisms, contribute to a further understanding of this phenomenon and may lead to a new treatment strategy for synchronous primary solid double malignancies.