Lung Cancer in Patients With Idiopathic Pulmonary Fibrosis: CT Findings

J Comput Assist Tomogr. Nov-Dec 1996;20(6):979-82. doi: 10.1097/00004728-199611000-00020.

Abstract

Purpose: The frequency of lung cancer in patients with idiopathic pulmonary fibrosis (IPF) is higher than that of general population. To evaluate CT findings of lung cancer associated with IPF, we analyzed 32 patients with lung cancer associated with IPF.

Method: We analyzed retrospectively 32 patients with histologically confirmed lung cancer out of 244 consecutive cases diagnosed as IPF by either CT and clinical findings (n = 220) or histologically (n = 24). The patients were 40-85 years old (mean 66 years, M/F = 31/1). Scanning techniques were conventional CT in 24 patients, high-resolution CT (HRCT) in 2 patients, and both conventional CT and HRCT in 6 patients. We analyzed the CT patterns, locations, and histologic types of lung cancer.

Results: The frequency of lung cancer in patients with IPF was 13.1% (32/244). In 17 of 32 patients, the CT findings of lung cancer were ill defined lesions mimicking air-space consolidation. Lung cancer was located mainly in the lower lobes (21/32) and peripheral portion (21/32). Histologically, squamous cell carcinoma was the most common type (18/32).

Conclusion: Typical CT findings of lung cancer were ill defined consolidation-like masses at the peripheral portion where the most advanced fibrosis was located.

MeSH terms

  • Adenocarcinoma / diagnostic imaging*
  • Adenocarcinoma / etiology
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Small Cell / diagnostic imaging*
  • Carcinoma, Small Cell / etiology
  • Carcinoma, Squamous Cell / diagnostic imaging*
  • Carcinoma, Squamous Cell / etiology
  • Contrast Media
  • Female
  • Humans
  • Iothalamic Acid / analogs & derivatives
  • Lung / diagnostic imaging
  • Lung Neoplasms / diagnostic imaging*
  • Lung Neoplasms / etiology
  • Male
  • Middle Aged
  • Pulmonary Fibrosis / complications
  • Pulmonary Fibrosis / diagnostic imaging*
  • Retrospective Studies
  • Tomography, X-Ray Computed* / instrumentation
  • Tomography, X-Ray Computed* / methods

Substances

  • Contrast Media
  • Iothalamic Acid
  • meglumine ioglicinate