首页 | 本学科首页   官方微博 | 高级检索  
     


Is Mediastinoscopy Necessary in the Evaluation of Lung Cancer?
Authors:N H Fishman  M H Bronstein
Affiliation:From the Department of Surgery, University of California School of Medicine, San Francisco, Calif
Abstract:
The records of 96 consecutive patients who underwent mediastinoscopy and were ultimately shown to have bronchogenic carcinoma were reviewed. Indirect tests for mediastinal tumor metastases in these patients included bronchoscopy and chest roentgenograms in all 96, mediastinal laminagrams in 65, esophagograms in 27, carinal biopsy in 23, bronchograms in 5, pulmonary angiograms in 5, azygograms in 2, and aortograms in 2 patients. Of the 43 patients in this series in whom all indirect tests revealed no metastases, mediastinoscopy showed nodal involvement in 11 (28%), who were thus spared unnecessary thoracotomy. On the other hand, if negative mediastinoscopy had not cast doubt on the validity of indirect tests that seemed to show metastases, an operation might actuallly have been denied to 14 patients who were ultimately proved to have anatomically resectable disease.
Keywords:Address reprint requests to Dr. Fishman   Department of Surgery   University of California Medical Center   San Francisco   Calif. 94143
本文献已被 ScienceDirect 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号