title: Failure of preoperative staging to assess unresectability in M0 bronchogenic carcinoma.
abstract: Despite extensive preoperative staging, unresectability of a bronchogenic carcinoma may not be known until an exploratory thoracotomy is done. Failures in anatomic staging occur because of inability to detect local extent of hilar lesions and inability to detect small deposits of metastatic disease. At the University of South Carolina, nine of 75 patients who underwent thoracotomies were found to be unresectable. Using an extensive staging protocol, the "back out" thoracotomy rate can be reduced to a minimum whereas no patient is denied a chance for surgical cure.
authors.affiliation: Department of Surgery, University of South Carolina School of Medicine, Columbia.
authors.forename: D S
authors.initials: DS
authors.lastname: Weiman
authors.forename: J W
authors.initials: JW
authors.lastname: Bolton
authors.forename: M L
authors.initials: ML
authors.lastname: Howard
authors.forename: G N
authors.initials: GN
authors.lastname: Olsen
authors.forename: C H
authors.initials: CH
authors.lastname: Almond
authors.forename: F L
authors.initials: FL
authors.lastname: Greene
mesh_terms: D002283:Carcinoma, Bronchogenic / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009367:Neoplasm Staging; D011237:Predictive Value of Tests; D011300:Preoperative Care; D013908:Thoracotomy