EVALUATION OF CHEST MASSES BY USING COMPUTED TOMOGRAPHY IN A TERTIARY CARE HOSPITAL, BURLA

Abstract

Manish Madan1, Vikas Agrawal2

Thoracic diseases are common and include a wide spectrum of lesions involving distinct compartments, i.e. lung parenchyma, pleura, chest wall and mediastinum. ‘Chest masses’ is a vast topic and includes all the lung, mediastinal, chest wall and pleural tumour whether benign or malignant. Compared to other noninvasive techniques, Computed Tomography (CT) can better delineate the local extent of lung tumours as well as visualise the mediastinal nodes.
MATERIALS AND METHODS
Study was conducted in a tertiary care hospital, VSSMCH, Sambalpur, Burla. All 50 patients who had chest findings were included in the present study. Relevant lab investigations and CT was done to determine the size, morphology, margin, density, calcification and various other characters.
RESULTS
All the patients were in the age of 15-65 years. The incidence of benign lesion was maximum below the age of 35 years. All the malignant lesions were above the age of 45 years. Lung lesions constituted 52% of the cases, while mediastinal masses constituted 48% of the cases. Out of the lung lesions, 53.84% of the lesions turned out to be malignant, whereas 46.14% of the lesions were benign.
CONCLUSION
Majority of the lung lesions were malignant and tuberculosis was the commonest among the benign lesions. Among the mediastinal lesions, germ cell tumour was found to be the commonest lesion.

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