Chest Wall/Pleural tumours

Question 1

Top 5 Chest Wall Lesions

Answer 1

1. Mets
2. MM
3. Neural Tumours
4. Invasive Lung Cancer
5. Hematoma

Question 2

Incomplete border signs suggests

Answer 2

Extrapulmonary process (either extra or intrathoracic)

Question 3

Chest wall masses that are commonly associated with rib destruction

Answer 3

Adults - mets, myeloma

Kids - Ewing and Neuroblastoma

Question 4

Primary malignancies most likely to metastasize to chest wall

Answer 4

Lung, Breast, Renal

Question 5

Mets to pleura

Answer 5

Lung, GI and GU ca’s

Question 6

Latency period for mesothelioma

Answer 6

~20 years after asbestos exposure

Question 7

Features of solitary fibrous tumours

Answer 7

Pleural based mass, homogeneous enhancement, low uptake on FDG
May be associated with HOA or hypoglycemia