The Value of Radiographic and Computed Tomography in the Staging of Lung Carcinoma

作者: Joseph W. Lewis , Beatrice L. Madrazo , Steven C. Gross , William R. Eyler , Donald J. Magilligan

DOI: 10.1016/S0003-4975(10)63002-0

关键词: MediastinotomyRadiologyMediastinal lymphadenopathyMediastinumCarcinomaRadiographyMediastinoscopyThoracotomyHilum (biology)MedicineSurgeryPulmonary and Respiratory MedicineCardiology and Cardiovascular Medicine

摘要: Abstract A prospective double-blind study was undertaken to compare computed tomography (CT) and conventional radiographic (RT) in the staging of lung carcinoma. Seventy-five patients had CT RT mediastinum hilum prior operation. The presence or absence metastasis lymph nodes documented at time operation standard applied studies. correctly predicted mediastinal lymphadenopathy most cases (sensitivity 91%, specificity 94%), while less helpful 61%, 86%). Metastatic those with false negative studies averaged only 0.8 cm diameter, probably accounting for findings. Both poor predictive values detecting hilar 73% 47%, 87% 72%, respectively). value evaluation equaled that mediastinoscopy mediastinotomy. When demonstrates no lymphadenopathy, invasive can be deferred definitive thoracotomy. Since positive were seen both scans (4% 8%, respectively), will still necessary

参考文章(12)
Philip C. Jolly, Wei-i Li, Richard P. Anderson, Anterior and cervical mediastinoscopy for determining operability and predicting resectability in lung cancer. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 79, pp. 366- 371 ,(1980) , 10.1016/S0022-5223(19)37945-0
D R Osborne, M Korobkin, C E Ravin, C E Putman, W G Wolfe, W C Sealy, W G Young, R Breiman, D Heaston, P Ram, M Halber, Comparison of plain radiography, conventional tomography, and computed tomography in detecting intrathoracic lymph node metastases from lung carcinoma. Radiology. ,vol. 142, pp. 157- 161 ,(1982) , 10.1148/RADIOLOGY.142.1.7053525
Edward M. Goldberg, Arvin S. Glicksman, Fazlur R. Khan, James J. Nickson, Mediastinoscopy for assessing mediastinal spread in clinical staging of carcinoma of the lung Cancer. ,vol. 25, pp. 347- 353 ,(1970) , 10.1002/1097-0142(197002)25:2<347::AID-CNCR2820250211>3.0.CO;2-O
George H. Underwood, Robert G. Hooper, Stewart P. Axelbaum, Donald W. Goodwin, Computed Tomographic Scanning of the Thorax in the Staging of Bronchogenic Carcinoma New England Journal of Medicine. ,vol. 300, pp. 777- 778 ,(1979) , 10.1056/NEJM197904053001407
Richard A. Mintzer, Salvador R. Malave, Harvey L. Neiman, Lawrence L. Michaelis, Robert M. Vanecko, John H. Sanders, Computed vs. conventional tomography in evaluation of primary and secondary pulmonary neoplasms. Radiology. ,vol. 132, pp. 653- 659 ,(1979) , 10.1148/132.3.653
Eric D. Foster, Darrell D. Munro, Anthony R.C. Dobell, Mediastinoscopy. A review of anatomical relationships and complications. The Annals of Thoracic Surgery. ,vol. 13, pp. 273- 286 ,(1972) , 10.1016/S0003-4975(10)64853-9
M. Hajek, J. N. H. Van Der Heide, Early detection of mediastinal spread of pulmonary carcinoma by mediastinoscopy Thorax. ,vol. 25, pp. 720- 724 ,(1970) , 10.1136/THX.25.6.720
Harold H. Rea, John E. Shevland, Antony J.S. House, Accuracy of computed tomographic scanning in assessment of the mediastinum in bronchial carcinoma. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 81, pp. 825- 829 ,(1981) , 10.1016/S0022-5223(19)39414-0
John K. Crowe, Larry R. Brown, John R. Muhm, Computed Tomography of the Mediastinum Radiology. ,vol. 128, pp. 75- 87 ,(1978) , 10.1148/128.1.75
Alvan R. Feinstein, XXXI. On the sensitivity, specificity, and discrimination of diagnostic tests Clinical Pharmacology & Therapeutics. ,vol. 17, pp. 104- 116 ,(1975) , 10.1002/CPT1975171104