Great arteries: Brachiocephalic, left common carotid, left subclavian, and vertebral
Types of vascular invasion
Microscopic
Diagnosed on histopathologic analysis
Macroscopic
Imaging documentation of vascular involvement on CT, MR, or angiography
Endovascular filling defect contiguous with tumor
Vascular encasement &/or stenosis by tumor
Obliteration of vascular lumen by tumor
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Mollberg NM et al: Lymphovascular invasion as a prognostic indicator in stage I non-small cell lung cancer: a systematic review and meta-analysis. Ann Thorac Surg. 97(3):965-71, 2014
Detterbeck FC et al: The stage classification of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 143(5 Suppl):e191S-210S, 2013
Tsujimoto H et al: Distance between the esophageal tumor and the aorta measured by using the contrast-enhanced attenuation on computed tomography for predicting this tumor invading aorta. J Gastroenterol Hepatol. 28(2):297-302, 2013
Benveniste MF et al: Role of imaging in the diagnosis, staging, and treatment of thymoma. Radiographics. 31(7):1847-61; discussion 1861-3, 2011
Hoffmann RT et al: Lung bleeding caused by tumoral infiltration into the pulmonary artery--minimally invasive repair using microcoils. Cardiovasc Intervent Radiol. 30(6):1282-5, 2007
Agarwal PP et al: Pulmonary artery pseudoaneurysm secondary to metastatic angiosarcoma. Thorax. 61(4):366, 2006
Sakuma M et al: Cancer and pulmonary embolism: thrombotic embolism, tumor embolism, and tumor invasion into a large vein. Circ J. 70(6):744-9, 2006
DiPerna CA et al: Surgical management of T3 and T4 lung cancer. Clin Cancer Res. 11(13 Pt 2):5038s-5044s, 2005
Jeong YJ et al: Does CT of thymic epithelial tumors enable us to differentiate histologic subtypes and predict prognosis? AJR Am J Roentgenol. 183(2):283-9, 2004
Picus D et al: Computed tomography in the staging of esophageal carcinoma. Radiology. 146(2):433-8, 1983
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Definitions
Tumor/tumor cells in blood vessel wall &/or lumen
Pulmonary vessels
Pulmonary artery(ies)/vein(s)
Systemic vessels
Vena cava
Azygos/hemiazygos venous systems
Aorta
Great arteries: Brachiocephalic, left common carotid, left subclavian, and vertebral
Types of vascular invasion
Microscopic
Diagnosed on histopathologic analysis
Macroscopic
Imaging documentation of vascular involvement on CT, MR, or angiography
Endovascular filling defect contiguous with tumor
Vascular encasement &/or stenosis by tumor
Obliteration of vascular lumen by tumor
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Mollberg NM et al: Lymphovascular invasion as a prognostic indicator in stage I non-small cell lung cancer: a systematic review and meta-analysis. Ann Thorac Surg. 97(3):965-71, 2014
Detterbeck FC et al: The stage classification of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 143(5 Suppl):e191S-210S, 2013
Tsujimoto H et al: Distance between the esophageal tumor and the aorta measured by using the contrast-enhanced attenuation on computed tomography for predicting this tumor invading aorta. J Gastroenterol Hepatol. 28(2):297-302, 2013
Benveniste MF et al: Role of imaging in the diagnosis, staging, and treatment of thymoma. Radiographics. 31(7):1847-61; discussion 1861-3, 2011
Hoffmann RT et al: Lung bleeding caused by tumoral infiltration into the pulmonary artery--minimally invasive repair using microcoils. Cardiovasc Intervent Radiol. 30(6):1282-5, 2007
Agarwal PP et al: Pulmonary artery pseudoaneurysm secondary to metastatic angiosarcoma. Thorax. 61(4):366, 2006
Sakuma M et al: Cancer and pulmonary embolism: thrombotic embolism, tumor embolism, and tumor invasion into a large vein. Circ J. 70(6):744-9, 2006
DiPerna CA et al: Surgical management of T3 and T4 lung cancer. Clin Cancer Res. 11(13 Pt 2):5038s-5044s, 2005
Jeong YJ et al: Does CT of thymic epithelial tumors enable us to differentiate histologic subtypes and predict prognosis? AJR Am J Roentgenol. 183(2):283-9, 2004
Picus D et al: Computed tomography in the staging of esophageal carcinoma. Radiology. 146(2):433-8, 1983
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