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A Retrospective Cross-sectional Study of High-Resolution Computed tomography Thorax Manifestations in Cancer Patients Suspected to Have Coronavirus Disease 2019 Infection

A. Ghodke, S. Kachewar, D. Jadhav

Annals of African medicine, 2026

100 participants

Abstract

BACKGROUND

The novel coronavirus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) primarily affects the respiratory system, producing lung findings - notably ground-glass opacities (GGOs) - on high-resolution computed tomography (HRCT) that closely mimic those seen in malignancy-related pulmonary lesions. Cancer patients, owing to their immunocompromised state, are particularly susceptible to COVID-19 infection and carry a worse prognosis. This overlap in radiological findings between COVID-19 pneumonia and malignancy-associated pulmonary changes poses a significant diagnostic challenge, risking misdiagnosis and delayed management.

AIMS AND OBJECTIVES

To study the role of HRCT Thorax in the identification and evaluation of typical manifestations of suspected COVID-19 infection in patients with preexisting malignancies. To identify atypical HRCT features of suspected COVID-19 infection in patients with preexisting malignancies.

MATERIALS AND METHODS

This retrospective cross-sectional study was conducted between August 2020 and February 2021 in the CT section of the Department of Radio-diagnosis at a tertiary care hospital. A total of 100 patients satisfying the inclusion-exclusion criteria, referred for HRCT Thorax with suspected COVID-19 infection and having preexisting malignancies, were enrolled. Categorical variables were presented as number and percentage, and continuous variables as mean ± standard deviation and median. Data were visualized using bar…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 100 participants or records.

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