MEDIASTINAL LYMPH-NODE STAGING WITH TRANSESOPHAGEAL ECHOGRAPHY IN CANCER OF THE LUNG

被引：14

作者：

JAKOB, H

LORENZ, J

CLEMENT, T

BORNER, N

SCHWEDEN, F

ERBEL, R

OELERT, H

机构：

[1] Department of Cardiothoracic and Vascular Surgerv, Mainz, FRG

[2] III. Medical Clinic, Mainz, FRG

[3] II. Medical Clinic, Mainz, FRG

[4] Department of Radiology, Johannes Gutenberg-University, Mainz, FRG

[5] Abteilung für Herz-, Thorax- und Gefäßchirurgie, Johannes Gutenberg-Universität, Mainz, D-6500

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1990年 / 4卷 / 07期

关键词：

Bronchogenic carcinoma; Lymph node staging; Transesophageal echography;

D O I：

10.1016/1010-7940(90)90042-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transesophageal echography (TEE) was used prospectively to study mediastinal lymph node enlargement in 23 patients with cancer of the lung.The findings were validated blindly by comparison with computed tomography(CT, n = 23) and pathological N classification after curative surgery (n =9). Lymph nodes larger than 1 cm were defined as pathologically enlarged. In the upper mediastinum, 22% (8 vs 36), in the lower mediastinum including the subaortic region 112% (37 vs 33) and in the hilar region 67% (6 vs 9) of enlarged lymph nodes diagnosed by CT were detected by TEE. A pathological study in 9 patients demonstrated true positive findings in 2vs 1, true negatives in 4 vs 5, false positives in 3 vs 2 and false negatives in 0 vs 1 comparing TEE with CT. From these preliminary data, we conclude that TEE, although still experimental, is equal or superior to CT in detecting enlarged nodes in the lower mediastinum, specifically in the aortopulmonary window but clearly inferior in the upper mediastinum and the hilar region. Additional information on central tumors and infiltration of the heart or great vessels can be clarified. In addition, data on hemodynamics and cardiac status can be obtained. TEE seems to be apromising tool in the preoperative staging of lung cancer. © Springer-Verlag.

引用

页码：355 / 358

页数：4

共 11 条

[1]

Backer C.L., Shields T.W., Lockhardt C.G., Vogelzang R., LoCicero J., Selective preoperative evaluation for possible N 2 disease in carcinoma of the lung, J Thorac Cardiovasc Surg, 93, pp. 337-343, (1987)

[2]

Daly B.D.T., Faling L.J., Pugatch R.D., Jung-Legg Y., Gale M.E., Bite G., A-C P., Snider G.L., An effective technique for mediastinal staging in lung cancer, J Thorac Cardiovasc Surg, 88, pp. 486-494, (1984)

[3]

Daly B.D.T., Fating L.J., Bite G., Gale M.E., Bankoff M.S., Jung-Legg Y., Cooper A.G., Snider G.L., Medaistinal lymph node evaluation by computed tomography in lung cancer, J Thorac Cardiovasc Surg, 94, pp. 664-672, (1987)

[4]

A new window to the heart, pp. 131-145, (1989)

[5]

Ferguson M.K., MacMahon H., Little A.G., Golomb H.M., Hoffman P.C., Skinner D.B., Regional accuracy of computed tomography of the mediastinum in staging of lung cancer, J Thorac Cardiovasc Surg, 91, pp. 498-504, (1986)

[6]

Laurent F., Drouillard J., Dorcier F., Velly J.F., Barat J.L., Grelet P., Martigne C.H., Tavernier J., Couraud L., Bronchogenic carcinoma staging: CT versus MR imaging. Assessment with surgery, Eur J Cardio-tnorac Surg, 2, pp. 31-36, (1988)

[7]

Martini N., Flehinger B.J., Zaman M.B., Beattie E.J., Results of resection in non-oat cell carcinoma of the lung with mediastinal lymphnode metastases, Ann Surg, 198, pp. 386-397, (1983)

[8]

Martini N., Heelan R., Westcott J., Bains M.S., McCormack P., Caravelli J., Watson R., Zarnan M., Comparative merits of conventional, computed tomographic, and magnetic resonance imaging in assessing mediastinal involvement in surgically confirmed lung carcinoma, J Thorac Cardiovasc Surg, 90, pp. 639-648, (1985)

[9]

Modini C., Passariello R., Iascone C., Cicconetti F., Simonetti G., Zerilli M., Tirindelli-Dancsi D., Stipa S., TNM staging in lung cancer: Role of computed tomography, J Thorac Cardiovasc Surg, 84, pp. 569-574, (1982)

[10]

Oelert H., Iversen S., Schmiedt W., Jakob H., Hake U., Intraoperative transoesophageal echocardiography (TEE): The Surgeon's perspective, A new window to the heart, pp. 347-353, (1989)

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