Abstract
Imaging diagnosis of lung cancer frequently occurs in the context of screening. In other cases, nodules may be detected on a routine CT scan or chest radiograph in asymptomatic patients. These tumors, which tend to be smaller at diagnosis, are referred to as central or peripheral as they have not spread beyond their local confines. While the features of the lesions’ borders can be suggestive of malignancy, they are not diagnostic. However, the presence of spiculation is thought to indicate a higher likelihood of malignancy [1] whereas clearly defined edges [2] may indicate an inflammatory process. Cavitation, frequently an indication of long-standing or advanced lung cancer, is most commonly seen in squamous cell lung cancer [3].
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References
Kuriyama K, Tateishi R, Doi O et al (1987) CT-pathologic correlation in small peripheral lung cancers. AJR Am J Roentgenol 149:1139–1143
Theros EG (1977) Varying manifestations of peripheral pulmonary neoplasms: a radiologicpathologic correlative study. AJR Am J Roentgenol 128:893–914
Chaudhuri MR (1973) Primary pulmonary cavitating carcinomas. Thorax 28:354–366
Austin JH, Romney BM, Goldsmith LS (1992) Missed bronchogenic carcinoma: radiographic findings in 27 patients with potentially resectable lesion evident in retrospect. Radiology 182:115–122
Quekel LG, Kessels AG, Goei et al (1999) Miss rate of lung cancer on the chest radiograph in clinical practice. Chest 115:720–724
Monnier-Cholley L, Arrive L, Porcel A et al (2001) Characteristics of missed lung cancer on chest radiographs: a French experience. Eur Radiol 11:597–605
Shah PK, Austin JH, White CS et al (2003) Missed non-small cell lung cancer: radiographic findings of potentially resectable lesions evident only in retrospect. Radiology 226:235–241
Turkington PM, Kennan N, Greenstone MA (2002) Misinterpretation of the chest x ray as a factor in the delayed diagnosis of lung cancer. Postgrad Med J 78:158–160
White CS, Salis AI, Meyer CA (1999) Missed lung cancer on chest radiography and computed tomography: imaging and medicolegal issues. J Thorac Imaging 14:63–68
Samuel S, Kundel HI, Nodine CF et al (1995) Mechanism of satisfaction of search: eye position recordings in the reading of chest radiographs. Radiology 194:895–902
Forrest JV, Friedman PJ (1981) Radiologic errors in patients with lung cancer. West J Med 134:485–490
Tala E (1967) Carcinoma of the lung: a retrospective study with special reference to pre-diagnosis period and roentgenographic signs. Acta Radiol Diagn (Stockh) 26:1–127
Forrest JV, Sagel SS (1979) The lateral radiograph for early diagnosis of lung cancer. Radiology 131:309–310
Muhm JR, Miller WE, Fontana RS et al (1983) Lung cancer detected during a screening program using four-month chest radiographs. Radiology 148:609–615
Stitik FP, Tockman MS (1978) Radiographic screening in the early detection of lung cancer. Radiol Clin North Am 16:347–366
Heelan RT, Flehinger BJ, Melamed MR et al (1984) Non-small-cell lung cancer: results of the New York screening program. Radiology 151:289–293
Monnier-Cholley L, Carrat F, Cholley BP et al (2004) Detection of lung cancer on radiographs: receiver operating characteristic analysis of radiologists’, pulmonologists’, and anesthesiologists’ performance. Radiology 233:799–805
Potchen EJ, Bisesi MA (1990) When is it malpractice to miss lung cancer on chest radiographs? Radiology 175:29–32
Brogdon BG, Kelsey CA, Moseley RD (1983) Factors affecting perception of pulmonary lesions. Radiol Clin North Am 21:633–654
Manning DJ, Ethell SC, Donovan T (2004) Detection or decision errors? Missed lung cancer from the posteroanterior chest radiograph. Br J Radiol 77:231–235
Kundel HL, Nodine CF, Carmody D (1978) Visual scanning, pattern recognition and decision making in pulmonary nodule detection. Invest Radiol 13:175–181
American College of Radiology (2005) ACR practice guideline for communication of diagnostic imaging findings. In: 2005 Practice guideline & technical standards. American College of Radiology; Reston, VA, pp 5–9
Gurney JW (1996) Missed lung cancer at CT: imaging findings in nine patients. Radiology 199:117–122
White CS, Romney BM, Mason AC et al (1996) Primary carcinoma of the lung overlooked at CT: analysis of findings in 14 patients. Radiology 199:109–115
Kakinuma R, Ohmatsu H, Kaneko M et al (1999) Detection failures in spiral CT screening for lung cancer: analysis of CT findings. Radiology 212:61–66
Li F, Sone S, Abe H et al (2002) Lung cancers missed at low-dose helical CT screening in a general population: comparison of clinical, histopathologic, and imaging findings. Radiology 225:673–683
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Romano, L., Pinto, A., Muzj, C. (2012). Errors in the Diagnosis of Lung Neoplasms. In: Romano, L., Pinto, A. (eds) Errors in Radiology. Springer, Milano. https://doi.org/10.1007/978-88-470-2339-0_3
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DOI: https://doi.org/10.1007/978-88-470-2339-0_3
Publisher Name: Springer, Milano
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