Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

The Value of Mediastinoscopy in Preoperative Staging of Primary Lung Cancer

원발성 폐암에서 술전 종격동 검사의 의의

  • Published : 1995.01.01
Download PDF
⟨ Previous Next ⟩

Abstract

To determine the role of mediastinoscopy in the preoperative staging of the primary lung cancer, we studied 23 patients from January 1993 to December 1993 and compared the results of mediastinoscopy and computed tomographic scanning with the findings at thoracotomy. Mediastinoscopy was performed in 14 patients when they had larger than 10mm mediastinal nodes at computed tomographic scanning. Six of them were found to have metastatic nodes. Nine patients, who had negative computed tomographic scanning and negative mediastinoscopic results,underwent thoracotomy. One of them was found to have a metastatic mediastinal lymph node. When results from both series of patients were compared, the sensitivity and specificity of computed tomographic scanning showed 83.3% and 47.1% respectively with an accuracy of 56.5%. The results of mediastinoscopy showed that the sensitivity was 85.7%, the specificity was 100% and the accuracy was 95.7%.Because of the low accuracy rate of computed tomographic scanning, a more routine use of mediastinoscopy seems to be justified.

Keywords

References

  1. J Thorac Cardivasc Surg v.91 Prospective evaluation of mediastinoscopy for assesment of carcinoma of the lung Luke,W.P.;Pearson,F.G.;Toold,T.R.J.;Patterson,G.A.;Cooper,J.D.
  2. J Thorac Cardivasc Surg v.97 The value of mediastinoscopy in preopertive staging of bronchogenic carcinoma Van Schill,P.;Van Hee,R.;Schoofs,E.
  3. Arch Surg v.100 Mediostinoscopy Ashbaugh,D.G.
  4. Dis Chest v.16 A method of biopsy in diagnosing certain intrathoracic disease Daniels,A.C.
  5. Dis Chest v.36 Mediastinoscopy : a method for inspection and tissue biopsy in the superior mediastinum Carlens,E.
  6. Ann Thorac Surg v.2 Disgnostic anterior mediastinoscopy McNeil,T.M.;Chamberlain,J.M.
  7. J Thorac Cardivasc Surg v.55 An evaluation of mediastinoscopy in management of presumably operable bronchial carcinoma Person,F.G.
  8. Ann Thorac Surg v.41 Mediastinal Assessment for Staging and Treatment of carcinoma of the lung Unruh,H.;Chiu,R.C.T.
  9. Chest v.85 Scanning in Staging of bronchogenic carcinoma Richey,H.M.;Matthews,J.I.;Helsel,R.A.;Cable,H.;Thoracic,C.T.
  10. J Thorac Cardivasc Surg v.88 Computed tomographiy : an effective technique for mediastinal staging in lung cancer Daly,B.D.;Faling,L.T.;Pugatch,R.D.(et al.)
  11. Chest v.88 Roentgenographic evaluation of Mediastinal Nodes for Preoperative Assessment in Lung Cancer Mekenna,Jr.R.T.;Libshitz,H.I.;Mountain,C.E.;McMurtrey,M.J.
  12. International Trends in General Thoracic Surgery, Lung Cancer v.1 The staging issue-problems: Accuracy of mediastinoxcopy Massen,W.;Delaure,N.C.;Eschapasse,H.
  13. J Thorac Cardiovasc Surg v.94 A prospective evaluation of magnetic resonance imaging, computed tomography, and mediastioscopy in the preoperative assessment of mediastinal node status in bronchogenic carcinoma Patterson,G.A.;Ginsberg,R.T.;Poon,P.Y.(et al.)
  14. Radiology v.182 Bronchogenic carcinoma: Analysis of staginig in the Mediastinum with CT by Correlative Lymph Node Mapping and Sampling McLoud,T.C.;Bourgouin,P.M.;Greenbeerg,R.W.(et al.)