The clinical value of routine preoperative surgical staging to mediastinal lymph nodes on lung cancer.
- Author:
Ye XU
1
;
Yang SHENTU
;
Min ZHENG
;
Ming GUO
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Carcinoma, Non-Small-Cell Lung; diagnostic imaging; pathology; Female; Humans; Lung Neoplasms; diagnostic imaging; pathology; Lymphatic Metastasis; Male; Mediastinoscopy; Mediastinum; pathology; Middle Aged; Neoplasm Staging; Tomography, X-Ray Computed
- From: Chinese Journal of Lung Cancer 2010;13(6):624-627
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND AND OBJECTIVEThe aim of this study is the clinical value of preoperative routine surgical staging to mediastinal lymph nodes on lung cancer.
METHODSSeventy-six cases underwent lymph nodes biopsy with mediastinoscopy. The diagnostic efficacy of thoracic CT scan and mediastinoscopy on mediastinal lymph nodes metastasis were compared.
RESULTSThe sensitivity, specificity, accuracy, positive predictive value and negative predictive value of thoracic CT scan and mediastinoscopy on diagnosing mediastinal lymph nodes metastasis were 68.5%, 66.7%, 68.4%, 84.6%, 16.7% and 87.5%, 100%, 84.2%, 100%, 60%, respectively.
CONCLUSIONRoutine preoperative mediastinoscopy had obvious advantage compared with thoracic CT scan on mediastinal lymph nodes staging. The routine preoperative surgical staging of mediastinal lymph nodes on lung cancer had high clinical value.
