The practice of cardiothoracic surgeons in the perioperative staging of non-small cell lung cancer.
作者： G M Tsang , D C Watson
DOI: 10.1136/THX.47.1.3
关键词: Respiratory disease 、 Thorax 、 Medicine 、 Thoracotomy 、 Cardiothoracic surgery 、 Surgery 、 Mediastinoscopy 、 Stage (cooking) 、 Perioperative 、 Lung cancer 、 General surgery
摘要: BACKGROUND: The treatment and prognosis of non-small cell lung cancer, assessment the results treatment, depend on accurate perioperative staging. extent to which this is carried out in United Kingdom unknown. METHODS: A postal questionnaire survey was undertaken 1990 determine staging practices cardiothoracic surgeons Kingdom. RESULTS: Replies from 77 surgeons, who between them performed about 4833 pulmonary resections a year for were analysed. Forty four per cent operating 43% patients, do not perform computed tomography thorax or mediastinal exploration before surgery. They may therefore embark thoracotomy stage III disease. At 45% 40% sample macroscopically normal lymph nodes. understage cases as N0/N1 when there at least microscopic disease CONCLUSIONS: cancer appears many instances be inadequate. There should more organised approach so that assessed comparisons groups patients can made.
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