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The Annals of Thoracic Surgery, Vol 46, 679-683, Copyright © 1988 by The Society of Thoracic Surgeons
M Tsutsui, Y Araki, T Shirakusa and S Inutsuka
Primary lung cancer closely associated with a large bulla was investigated
in an attempt to elucidate radiographic features of the tumor. On the basis
of findings in 7 of our patients plus data on another 25 patients in the
Japanese literature, we propose three major patterns of neoplasm
development: nodular opacity within or adjacent to the bulla, partial or
diffuse thickening of the bulla wall, and secondary signs of the bulla
(changed diameter, fluid retention, and pneumothorax). As the incidence of
occurrence of a pulmonary carcinoma in association with bullous disease is
high, these radiographic findings will aid in early detection of a
malignant lesion.
ARTICLES
Characteristic radiographic features of pulmonary carcinoma associated with large bulla
Second Department of Surgery, School of Medicine, Fukuoka University, Japan.
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