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Journal of Radiological Review 2020 March-April;7(2):85-104

DOI: 10.23736/S2723-9284.20.00233-1


language: English, Italian

Thoracic urgencies in cancer patients: diagnosis and management

Stefania IANNIELLO 1 , Simona VEGLIA 2, Francesca ARABIA 2, Silvia STOLA 2, Francesca IACOBELLIS 3, Luigia ROMANO 3, Mariano SCAGLIONE 4, 5, Maria C. ANDREOLI 6, Luisa DE CICCO 6, Anna M. IERARDI 7, Enrico GARANZINI 7, Paolo D’ANDREA 8

1 Department of Emergency Diagnostic Imaging, S. Camillo-Forlanini Hospital, Rome, Italy; 2 Department of Radiology 2, Molinette Hospital, Città della Salute e della Scienza, Turin, Italy; 3 Unit of Radiology and Emergency Medicine, A. Cardarelli Hospital, Naples, Italy; 4 Department of Radiology, Pineta Grande Hospital, Castel Volturno, Caserta, Italy; 5 Department of Radiology, Sunderland Royal Hospital, NHS, Sunderland, UK; 6 Department of Emergency Diagnostic Imaging, Umberto I Polyclinic Hospital, Rome, Italy; 7 Department of Diagnostic and Interventional Radiology, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Milan, Italy; 8 AULSS1 Dolomiti-Veneto, Unit of Radiology, San Martino Hospital, Belluno, Italy


The cancer patient represents a complex diagnostic challenge in urgency, increasingly reflected in the daily reality of our emergency services, since the oncological facilities often do not have emergency services dedicated to this type of patients. The purpose of the review is to define which diagnostic tests are most appropriate in the presence of pathological conditions of thoracic urgency, which can take over at the same time or as a result of the oncological disease, its specific therapies (immunological, etc.), or in the course of the follow-up of the disease itself. The review takes into account the broader scope of thoracic pathologies, distinguishing those loaded with pulmonary parenchyma, pleura, mediastinum, chest wall and chest vascular structures.

KEY WORDS: Neoplasms; Thoracic radiography; Pleural diseases; Mediastinal diseases; Emergency medical services

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