Computed Tomography and Staging of Lung Cancer – Prospective Study
Authors:
A. J. Stolz; R. Pipková 1; J. Schützner; J. Šimonek; R. Lischke; P. Pafko
Authors‘ workplace:
III. chirurgická klinika 1. LF UK a FNM, Praha 1Klinika zobrazovacích metod FNM, Praha
Published in:
Čas. Lék. čes. 2004; : 752-754
Category:
Overview
Background.
The aim of our study was to determine validity of computed tomography in staging of non-small celllung cancer.Methods and Results. Sixty-two patients with NSCLC were operated at our department between March andSeptember 2003. Lymph nodes with the shortest diameter over 10 mm on CT were considered abnormal. Primarytumor was correctly determined by CT scans in 77 % of cases, lymph nodes involvement in 63 %. Stage of NSCLCwas correct in 53% of all patients. Negative predictive value for N1 and N2 was 80 %, resp. 88 %.Conclusions. Even with improvement in CT technology, validity of CT in staging of NSCLC remains low. Weconsider that mediastinoscopy can be avoided in the presence of normal mediastinal CT findings due to high negativepredicative value of nodal improvement.
Key words:
non-small cell lung cancer, staging, computed tomography, mediastinoscopy.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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