Unusual Abnormal Communications Leading to Interesting Imaging Findings in Onco-Radiological Practice
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Abstract
An abnormal communication is a connection between two epithelial surfaces such as between hollow organs, skin or vessels. In onco-radiological practice they may occur in association with malignancy due to the primary or recurrent tumor, or in due course of treatment of the tumor by surgery, chemotherapy and radiotherapy. Looking for these abnormal communications and their causes are necessary for further planning, management and follow up of these cases. Computed tomography (CT) is sensitive in detecting , assessing the fistulous tract with positive contrast effect and contrast leak at abnormal sites, changes in the adjacent soft tissue and identification of air foci within the tract. Now, we report a case series of 8 rare, unusual and abnormal communications such as esophago-mediastinal, tracheo-mediastinal, entero-enteric, entero-cutaneous seen in different cancers on CT in our oncoradiological practice in MNJ Institute of Oncology and Regional Cancer Center.
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