| Enlarged hilar and mediastinal lymph nodes in chronic obstructive pulmonary disease. | |
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MedLine Citation:
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PMID: 20718913 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: To evaluate the frequency of enlarged hilar or mediastinal lymph nodes in patients suffering from chronic obstructive pulmonary disease (COPD). METHODS: In a retrospective study, 89 patients with proven COPD were analysed. Exclusion criteria were history of malignant disease or clinical evidence of pneumonia. Prevalence, size, and localisation of enlarged lymph nodes were assessed by multi-slice computed tomography (MSCT) and correlated with the clinical stages following the GOLD classification as well as the MSCT findings of bronchitis and emphysema. RESULTS: 44/89 (49%) of our patients showed enlarged lymph nodes. Lymph node enlargement was more often seen in the mediastinum (48%) than the hilar region (20%). The most common localisation of enlarged mediastinal lymph nodes was the regional station 7 following the ATS mapping (infracarinal). Patients with a stage I following the GOLD classification showed enlarged lymph nodes in 49% (18/37), stage II in 46% (12/26), stage III in 58% (7/12) and stage IV in 50% (7/14). These findings did not differ significantly (P > 0.05). Severe airway wall thickening (42/89) was significantly more often associated with an increase of nodal enlargement (64%) (P < 0.05). CONCLUSION: The present study demonstrates that enlarged hilar and mediastinal lymph nodes may occur in a rather high percentage of patients suffering from COPD, especially in those with the MSCT finding of severe bronchitis. |
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Authors:
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J Kirchner; E M Kirchner; J P Goltz; A Obermann; R Kickuth |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of medical imaging and radiation oncology Volume: 54 ISSN: 1754-9485 ISO Abbreviation: J Med Imaging Radiat Oncol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-19 Completed Date: 2010-12-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101469340 Medline TA: J Med Imaging Radiat Oncol Country: Australia |
Other Details:
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Languages: eng Pagination: 333-8 Citation Subset: IM |
Affiliation:
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Department of Diagnostic and Interventional Radiology, Allgemeines Krankenhaus Hagen, Germany. kirchner@akh-hagen.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Comorbidity Contrast Media / diagnostic use Female Humans Iopamidol / analogs & derivatives, diagnostic use Lymph Nodes / radiography* Lymphatic Diseases / epidemiology*, radiography Male Mediastinum / radiography Middle Aged Observer Variation Prevalence Pulmonary Disease, Chronic Obstructive / epidemiology*, radiography* Radiographic Image Enhancement / methods Retrospective Studies Tomography, X-Ray Computed / methods |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 62883-00-5/Iopamidol; 78649-41-9/iomeprol |
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