Accuracy of Transthoracic Ultrasound for the Prediction of Chest Wall Infiltration by Lung Cancer and of Lung Infiltration by Chest Wall Tumours
| Autor: | Emanuela Pipitone, Alessandro Bini, Guido Caroli, Franco Stella, Giampiero Dolci, Andrea Dell’Amore, Nizar Asadi, Nicola Cassanelli |
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| Přispěvatelé: | Caroli, Guido, Dell'Amore, Andrea, Cassanelli, Nicola, Dolci, Giampiero, Pipitone, Emanuela, Asadi, Nizar, Stella, Franco, Bini, Alessandro |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Lung Neoplasms Chest wall Intercostal Muscles Predictive Value of Test Pleural thickening Positive predicative value Prospective Studies Tomography Computed tomography Lung Lung infiltration Ultrasonography Lung cancer diagnosi Ovarian Neoplasms Lung cancer surgery Colonic Neoplasm Ultrasound Chest wall surgery Lung cancer diagnosis Aged Carcinoma Chondroma Chondrosarcoma Colonic Neoplasms Female Humans Kidney Neoplasms Liposarcoma Middle Aged Neoplasm Invasiveness Pleura Predictive Value of Tests Preoperative Care Retroperitoneal Neoplasms Ribs Thoracic Neoplasms Thoracic Wall Tomography X-Ray Computed Tumor Burden Kidney Neoplasm X-Ray Computed medicine.anatomical_structure Intercostal Muscle Radiology Cardiology and Cardiovascular Medicine Infiltration (medical) Human Pulmonary and Respiratory Medicine medicine.medical_specialty Thoracic Neoplasm medicine Lung cancer Neoplasm Invasivene Retroperitoneal Neoplasm business.industry Ovarian Neoplasm Rib medicine.disease Lung Neoplasm Prospective Studie business |
| Popis: | Background: We wanted to determine the accuracy of transthoracic ultrasound in the prediction of chest wall infiltration by lung cancer or lung infiltration by chest wall tumours. Methods: Patients having preoperative CT-scan suspect for lung/chest wall infiltration were prospectively enrolled. Inclusion criteria for lung cancer were: obliteration of extrapleural fat, obtuse angle between tumour and chest wall, associated pleural thickening. The criteria for chest wall tumours were: rib destruction and intercostal muscles infiltration with extrapleural fat obliteration and intrathoracic extension. Lung cancer patients with evident chest wall infiltration were excluded.Transthoracic ultrasound was preoperatively performed. Predictions were checked during surgical intervention. Results: Twenty-three patients were preoperatively examined.Sensitivity, specificity, positive and negative predictive values of transthoracic ultrasound were 88.89%, 100%, 100% and 93.3%, respectively. Youden index was used to determine the best cut-off for tumour size in predicting lung/chest wall infiltration: 4.5. cm.At univariate logistic regression, tumour size ( |
| Databáze: | OpenAIRE |
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