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Abstract
Computed tomography is believed to have a definite role in the evaluation of malignant
pleural mesothelioma based on a review of computed tomography findings in 23 of our
patients and previous reports. Twelve patients had a single computed tomography examination,
and 11 had two or more studies. Computed tomography permits better appreciation of
the extent of the tumor. This permits appropriate selection of therapy and may demonstrate
that surgery or radiotherapy is not indicated. computed tomography often permits more
accurate evaluation following chemotherapy and may be the only means by which to follow
a patient after radical surgery. Computed tomography also has a role in differential
diagnosis. It facilitates distinction of malignant pleural mesothelioma from rounded
atelectasis, pleural changes of asbestosis, and pleural involvement with lymphoma
and thymoma. It aids, but may not be diagnostic, in separating malignant pleural mesothelioma
from metastases to the pleura.
Keywords
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© 1984 Published by Elsevier Inc.