Mediastinoscopy in Relation to Clinical Evaluation

Autor: Kari Liippo, Heikki J. Puhakka, Tala E
Rok vydání: 1990
Předmět:
Zdroj: Scandinavian Journal of Thoracic and Cardiovascular Surgery. 24:43-45
ISSN: 0036-5580
DOI: 10.3109/14017439009101822
Popis: The aim of the study was to evaluate the entire spectrum of mediastinoscopy, from common to rare conditions, in relation to clinical judgement. The 2021 consecutive patients comprised 992 with 'open' clinical diagnoses at mediastinoscopy and 1,029 with verified or presumptive diagnoses. In the first group the most common indications for mediastinoscopy were pulmonary infiltrate (73%) and mediastinal shadow (17%), and in the second group they were bronchogenic carcinoma (57%) and sarcoidosis (38%). Mediastinoscopy was classified as positive in 43% of the first, and 60% of the second group. Of the total series, 51% had positive mediastinoscopy findings, the most common being malignant disease (24%) and sarcoidosis (21%). Mediastinoscopy was useful especially for evaluating malignant mediastinal involvement, but also for differentiation of lymphadenopathies and in diagnosis of rare diseases.
Databáze: OpenAIRE