Repeat mediastinoscopy in the assessment of new and recurrent lung neoplasm
| Autor: | R.G Vanderschueren, Aart Brutel de la Rivière, Paul J. Knaepen, Dirk Meersschaut, Frank Vermassen, Jules M.M. van den Bosch |
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| Rok vydání: | 1992 |
| Předmět: |
Pulmonary and Respiratory Medicine
Interventional therapy Adult Male medicine.medical_specialty Lung Neoplasms medicine.medical_treatment Adenocarcinoma Sensitivity and Specificity Mediastinoscopy medicine Neoplasm Humans Surgical Wound Infection Neoplasm Invasiveness Thoracotomy Aged Neoplasm Staging Aged 80 and over Lung medicine.diagnostic_test Puncture Biopsy business.industry Respiratory disease Carcinoma Cancer Middle Aged medicine.disease Surgery medicine.anatomical_structure Female Radiology Neoplasm Recurrence Local Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of thoracic surgery. 53(1) |
| ISSN: | 0003-4975 |
| Popis: | From 1976 to 1990, 140 patients (mean age, 66 years; 91% male) underwent repeat mediastinoscopy as a routine staging procedure. The mean interval between first and second mediastinoscopy was 56 months. Owing to adhesions, 26 repeat mediastinoscopies (18%) were considered incomplete. There was no mortality, and 10 complications did not require interventional therapy. The results were positive in 20 patients, thus avoiding an unnecessary thoracotomy. In 7 patients with negative findings, positive lymph nodes were found at thoracotomy or by transcarinal puncture biopsy. The sensitivity of repeat mediastinoscopy in this series is 74%, and the accuracy 94%. We consider repeat mediastinoscopy a safe and reliable preoperative staging procedure in new or recurrent lung cancer. |
| Databáze: | OpenAIRE |
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