Incidental lung carcinoma detected at CT in patients selected for lung volume reduction surgery to treat severe pulmonary emphysema
| Autor: | Charles S. White, Anna Rozenshtein, B. M. Romney, M. J. Krasna, Z. Protopapas, John H. M. Austin |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Lung Diseases Male medicine.medical_specialty Lung Neoplasms Hamartoma Pulmonary Fibrosis medicine.medical_treatment Adenocarcinoma Lung volume reduction surgery Preoperative care Pneumonectomy Carcinoma Non-Small-Cell Lung Preoperative Care Carcinoma Humans Medicine Radiology Nuclear Medicine and imaging Lung cancer Aged Neoplasm Staging Aged 80 and over Granuloma Lung business.industry Respiratory disease Solitary Pulmonary Nodule Pneumonia Adenocarcinoma Bronchiolo-Alveolar Middle Aged respiratory system medicine.disease respiratory tract diseases medicine.anatomical_structure Pulmonary Emphysema Carcinoma Squamous Cell Lymph Node Excision Female Radiography Thoracic Lymph Nodes Radiology Tomography X-Ray Computed business |
| Zdroj: | Radiology. 207:487-490 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.207.2.9577499 |
| Popis: | The authors present their experience with previously unsuspected carcinoma of the lung detected at preoperative computed tomography (CT) in patients with severe pulmonary emphysema who were scheduled to undergo lung volume reduction surgery.Preoperative chest CT was performed in 148 patients (84 men, 64 women; mean age, 65 years +/- 8 [standard deviation]) with advanced pulmonary emphysema before lung volume reduction surgery. At surgery, an attempt was made to excise any pulmonary nodule considered suspicious for carcinoma at CT.Eighteen pulmonary nodules suspicious for lung cancer were found at CT in 17 (11%) of the 148 patients. Sixteen of these 148 nodules were resected at lung volume reduction surgery. Nine non-small cell carcinomas (adenocarcinoma, n = 4, including three with bronchioloalveolar differentiation; poorly differentiated, n = 3; squamous cell carcinoma, n = 2) were found in eight (5%) patients. Eight of the cancers were stage I, and one was unstaged surgically. Maximum diameters of the cancers ranged between 1.0 and 3.8 cm (median, 1.6 cm). The seven (5%) other resected nodules were all benign.A 5% rate of stage I primary lung cancer in patients selected for lung volume reduction surgery suggests that performance of chest CT in candidates for lung volume reduction surgery is appropriate not only to identify patterns of pulmonary parenchymal destruction but also to search for stage I lung cancer. |
| Databáze: | OpenAIRE |
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