Prospective evaluation of mediastinoscopy for assessment of carcinoma of the lung.
作者： William P. Luke , F. Griffith Pearson , Thomas R.J. Todd , G. Alec Patterson , Joel D. Cooper
DOI: 10.1016/S0022-5223(19)38480-6
关键词:
摘要: Between 1979 and 1984, mediastinoscopy was performed on 1,000 of the 1,500 patients admitted to Thoracic Surgical Service Toronto General Hospital with diagnosis carcinoma lung. In 144 cases, concomitant anterior also performed. Abnormal mediastinal nodes were found in 296 (29.6 %). The overall complication rate 2.3 %, no deaths. Mediastinoscopy revealed diseased 24 % squamous cell carcinoma, 29 adenocarcinoma, 54 small undifferentiated 31% large 12% bronchoalveolar carcinoma. Abnornmal equal frequency right- left-sided tumors occurred 31 main bronchus, 25% upper lobe tumors, 17% lower tumors. Of 704 having negative results mediastinoscopy, 590 subjected thoracotomy. Ninety-three percent underwent resection (85% curative, 7% palliative) had unresectable resections, 20% pneumonectomies. At thoracotomy, 52 mediastinoscopic have abnormal nodes. Sixty-two positive selected for Eighty-six resectable lesions (67% 18% 14% unresectable. pneumonectomy this group 35 %. These current data support our previous opinion that routine can be done negligible morbidity provides essential information classification management cancer
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