CHEST CT

CHEST CT


CHEST CT [CHEST SCANNER]

What does the CT scan?

The CT scan allows examination of thin cross sections of the lungs, called pleura cover them, and the vessels supplying the bronchi and lungs. Two sets of images are always performed, one without injection of contrast medium and with injection of contrasted. It is necessary to clarify an anomaly discovered in the chest radiograph or to monitor the evolution of a lung disease in processing. It is also a powerful examination to detect small tumors or metastases from cancer, before they are visible on the chest radiograph conventional.
chest CT

Should take special precautions before or after the exam?


What information is provided by the CT scan?

CT scan allows a detailed analysis of the structure pulmonary and detection early lesions (emphysema, tumors). It also analyzes the pleura which may be the seat of effusion fluid (pleural effusion), air (pneumothorax) or cancer specific (mesothelioma). The mediastinum is visualized through the injection of contrast to distinguish the vessels and any lymph nodes.

How long is the exam?

1/2 hour.

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Cancer Of Pleura

Cancer or mesothelioma of the pleura: 


when to see?

The main sign of mesothelioma is the collection of fluid in the pleura, causing pain and difficulty in breathing, which is called a pleural effusion or "pleurisy". This symptom was, however, be found in other diseases such as lung infections. Knowing that the effects of asbestos may not appear after many years later, the most important is to realize a lung examination when you think to have been exposed to asbestos, even long ago and for a short period.

Cancer or mesothelioma of the pleura:
Cancer Of Pleura


What's going on there during the examination?

The diagnosis is made ​​using a simple chest x-ray and scanner. These reviews assess the level of local invasion. To be certain of the diagnosis, sampling by thoracoscopy or pleuroscopy are needed. These reviews are done under anesthesia general in a brief hospitalization. The samples are sent for analysis, which can take several days.
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Malignant Pleural

Malignant Pleural


Focus on cancer of the pleura and malignant pleural mesothelioma
Cancer of-the pleura or pleural mesothelioma cancer is unique and extremely hard line. Difficult to determine, is regularly puzzled with lung cancer. It's a hop in a huge stream of the cases-with exposure to asbestos.

What are the risk factors for cancer of the pleura?

This cancer affects the pleura, the membrane that surrounds the lungs and lines the chest cavity. In 75%-to-80% of cancer case of the pleura is related with exposure to asbestos.

Asbestos fibers move around to the pleura, which cause an inflammatory reaction. Finally, for 20 to 50 years, the attack finally accelerate the growth of tumor cells.
Malignant Pleural

Sectors most vulnerable to asbestos exposure, and therefore at risk for cancer, pleurisy plumbers pipefitters, boilermakers Taulier, shipbuilding and processing of asbestos.

Overall, the incidence of mesothelioma increases with age. They are generally those more than sixty years, have been identified this type of cancer.

In addition, the diagnosis is not easy and pleura cancer is frequently perplexed with lung cancer. Seeing that meant for the diagnosis of this rare cancer (1,000cases peryear), but aggressive, it is rather dark, but everything depends on the stage at diagnosis.

What are the symptoms of pleural cancer?

- Difficulty in breathing (dyspnoea).
- Chest pain.

These are the two main symptoms, which tend to advise patients. The proliferation of cancerous cells eventually prevent the spread of fluid between the layers of the pleura, resulting in these symptoms.

- Cough.
- Weight Loss.
- Fever.
- Feeling of discomfort.
- Night sweats.
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Cancer of the Pleura

Cancer of the Pleura


CANCER OF THE PLEURA AND ASBESTOS, THE SLAUGHTER ANNOUNCED

The epidemic of cancer of the pleura due to asbestos continues its strong growth. Nearly 800 new cases of cancer are recorded each year Pleva and 2030, the number of deaths should double to 50,000. The number of women living with cancer Pleva increases, the age of new patients has steadily declined and new categories of the population are affected.

The damage of asbestos: the development of mesothelioma cancer Pleva

Yet suspected for decades, only in 1974 that a U.S. study confirms the toxicity of asbestos by demonstrating a risk of cancer increased fivefold among workers on insulation systems based asbestos.Despite a report outlining two years later a "probable increase in the coming years, the incidence of asbestos-related cancers, including mesothelioma, cancer of Pleva, it was not until January 1, 1997 that this material is interdit.C east and the national surveillance program of mesothelioma, cancer Pleva, was established to assess the damage and estimate the severity of those to come.

Asbestos: the slaughter announced...
Cancer of the Pleura

Five years later, "announced the slaughter" by some specialists of asbestos is confirmed. The program also reveals a growing epidemic, while it is in decline in many industrialized countries. Why? Preventive measures were too late in the Hexagon and patients under-diagnosed too long. Finally, since the 70's, the incidence of mesothelioma, the fatal cancer of the pleura caused by inhalation of toxic fibers of asbestos, has doubled in men. Today is diagnosed 800 new cases per year, age tends to decrease steadily. Women with are growing and we discover new areas of activities that were thought previously spared, such as shipbuilding. Professionals are most at risk are now plumbers, pipefitters, welders, sheet metal workers and boilermakers.

The disease is very long to declare after the start of the exhibition, the number of deaths attributable to asbestos is expected to grow until 2030.
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How does Asbestos Cause Cancer

How does Asbestos Cause Cancer


ASBESTOS AND CANCER: FOR HOW MUCH LONGER?

In 1998, Canada filed a complaint against to the World Trade Organization for non-compliance with international trade rules. To ban the purchase and use of asbestos to which Canada is the largest producer. Canada was dismissed because had shown so clear what the dangers of asbestos: asbestosis, cancer of the pleura (or "mesothelioma"), lung cancer. Given that the duration of induction of cancer by asbestos fibers may take several decades, we will probably hear about it for a long time.
How does Asbestos Cause Cancer

We are often surprised to learn that asbestos is a completely natural product. It is a silicate of iron, magnesium and calcium (a mineral so) that forms flexible fibers, rot and fire resistant. It is found in large quantities especially in Canada which is the world's largest producer. The most common uses are the thermal and acoustic insulation for fiber "amphibole" and the manufacture of cement for fiber "chrysotile". This is where the rub, because it is now well established that amphibole fibers when inhaled, strongly favor the cancer of the pleura , the risk is disputed by the producing countries chrysoties for fiber cement. On this point, the experts Europeans for a very likely risk (difficult to quantify because the number of mesothelioma cases is comparatively small). Knowing that the mesothelioma or pleural cancer is almost always fatal within a few months at the cost of severe pain, the precautionary principle must of course play.

Diseases of asbestos

Exposure to asbestos can cause three types of pathologies. First, it can create a pulmonary fibrosis (asbestosis), leading to progressive respiratory failure. The second is cancer lung (but we know that tobacco is a risk factor even more important than asbestos). The third is the cancer of the pleura or "mesothelioma". It is not favored by the tobacco from 30 to 50% of cases are caused by exposure to asbestos. In all other cases, it is usually an occupational exposure (insulation, textiles, construction, filters) which is sometimes very short, sometimes very old (up to 40 years). The main sign of mesothelioma is the collection of fluid in the pleura causing pain and difficulty breathing. Diagnosis is made on the radio and scanner, which measures the degree of local invasion. To be certain about the diagnosis, it is necessary to take samples or by thoracoscopy pleuroscopy. Unfortunately the treatment is usually only palliative (chemotherapy and pain management). Death occurs within months.

A public health problem

In 1996, INSERM estimates the number of deaths related to asbestos (all diseases combined) in 1950, and for the period 1979-1990, the study of the incidence of cancers of the pleura showed an increase of 25 % every 3 years (Ministry of Labour and Social Affairs). The asbestos in question is the most amphibole asbestos, which has been used as insulation in a considerable number of buildings (eg Faculty of Jussieu). When we know that the time to onset of cancer of the pleura may be 40 years , is expected for several more years at a rate of cancers of the pleura.
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