Oblique hilar tomography, computed tomography, and mediastinoscopy for prethoracotomy staging of bronchogenic carcinoma

Conference · Thu Aug 01 00:00:00 EDT 1985 · Radiology; (United States)

OSTI ID:5378527

Khan, A; Gersten, K C; Garvey, J; Khan, F A; Steinberg, H

Preoperative oblique hilar tomography was used to evaluate hilar lymph nodes in 150 patients with clinically resectable bronchogenic carcinoma. CT was also used in the evaluation of mediastinal lymph nodes in 50 of these patients. Subsequently, all patients underwent mediastinoscopy and/or thoracotomy. Hilar and mediastinal nodes were evaluated for the presence of metastasis, and these findings were then correlated with the radiographic findings of oblique hilar tomography and CT. CT was found to be a reliable method for prethoracotomy staging of bronchogenic carcinoma and for selecting patients for mediastinoscopy. Thus patients with negative mediastinal CT need not undergo mediastinoscopy prior to thoracotomy, while mediastinoscopy and biopsy should be done in patients with enlarged mediastinal nodes on CT. Oblique hilar tomography is an accurate method for evaluation of hilar adenopathy and for predicting mediastinal involvement by extrapolation.

• Research Organization: Long Island Jewish-Hillside Medical Center, New Hyde Park, NY
• OSTI ID: 5378527
• Report Number(s): CONF-851152-
• Journal Information: Radiology; (United States), Vol. 156:2; Conference: 71. scientific assembly and annual meeting, Chicago, IL, USA, 17 Nov 1985
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CARCINOMAS
DIAGNOSIS
LUNGS
COMPUTERIZED TOMOGRAPHY
MEDIASTINUM
BIOPSY
LYMPH NODES
SURGERY
TOMOGRAPHY
BODY
BODY AREAS
CHEST
DIAGNOSTIC TECHNIQUES
DISEASES
LYMPHATIC SYSTEM
MEDICINE
NEOPLASMS
ORGANS
RESPIRATORY SYSTEM
550602* - Medicine- External Radiation in Diagnostics- (1980-)