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

Conference · Thu Aug 01 04:00:00 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-
• Conference Information: Journal Name: Radiology; (United States) Journal Volume: 156:2
• Country of Publication: United States
• Language: English

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