CT features associated with contralateral recurrence of spontaneous pneumothorax

Spontaneous pneumothorax recurs in 30 to 54% of patients without surgery. Identifying individuals likely to suffer a recurrence, who might benefit from pre-emptive surgery, is challenging. Previous meta-analysis suggested a relationship between contralateral recurrence and specific computed tomograp...

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Bibliographic Details
Published inQJM : An International Journal of Medicine
Main Authors Burn, Lance A, Ta Wetscherek, Maria, Pharoah, Paul D, Marciniak, Stefan J
Format Journal Article
LanguageEnglish
Published England 08.07.2024
Subjects
recurrence
computerised tomography
pneumothorax
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Summary:Spontaneous pneumothorax recurs in 30 to 54% of patients without surgery. Identifying individuals likely to suffer a recurrence, who might benefit from pre-emptive surgery, is challenging. Previous meta-analysis suggested a relationship between contralateral recurrence and specific computed tomography (CT) findings. We analysed CT images and recurrence rates 243 patients seen by our tertiary referral pneumothorax service. We validated the meta-analysis observation that contralateral lung cysts are associated with a higher risk of contralateral recurrence in younger individuals. Furthermore, we observed the size of contralateral cysts to be associated with increased contralateral recurrence in younger patients. The detection of contralateral lung cysts might therefore help identify younger patients more likely to benefit from pre-emptive surgery.
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ISSN:1460-2725
1460-2393
1460-2393
DOI:10.1093/qjmed/hcae129