Mediastinoscopy in Relation to Clinical Evaluation
Autor: | Kari Liippo, Heikki J. Puhakka, Tala E |
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Rok vydání: | 1990 |
Předmět: |
Adult
Male medicine.medical_specialty Lung Neoplasms Adolescent Sarcoidosis Mediastinal Neoplasms Mediastinoscopy Diagnosis Differential medicine Carcinoma Humans Prospective Studies Child Prospective cohort study Aged Aged 80 and over medicine.diagnostic_test business.industry Respiratory disease Mediastinum Middle Aged medicine.disease Surgery Endoscopy Bronchogenic carcinoma Carcinoma Bronchogenic medicine.anatomical_structure Female Radiology Cardiology and Cardiovascular Medicine business |
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 |
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