Document Detail


The mediastinum in non-small cell lung cancer: CT-surgical correlation.
MedLine Citation:
PMID:  6609589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Computed tomography was used to evaluate the mediastinum preoperatively in 60 patients with non-small cell lung cancer; 49 of these patients had thorough surgical-pathologic determination of mediastinal node status. Mediastinal lymph nodes were located by CT using the node-mapping scheme suggested by the American Thoracic Society and were considered abnormal when larger than 100 mm2 in cross-sectional area. The sensitivity of CT was 95% in detecting malignant mediastinal adenopathy; however, specificity was only 64%. Receiver operating characteristic (ROC) curve analysis showed that the optimal size criterion for diagnosing malignant mediastinal adenopathy is 1.0-1.5 cm when the short axis of a node is measured. CT staging of the mediastinum in patients with non-small cell lung cancer is clinically useful; negative mediastinal CT makes mediastinoscopy unnecessary, whereas positive CT should lead to biopsy of the enlarged node.
Authors:
G M Glazer; M B Orringer; B H Gross; L E Quint
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  142     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-06-12     Completed Date:  1984-06-12     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1101-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Carcinoma / radiography*,  surgery
Humans
Lung Neoplasms / radiography*,  surgery
Lymph Nodes / radiography
Mediastinum / radiography*
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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