[Value of mediastinoscopy versus thoracic CT for prediction of mediastinal tumor lymph nodes].
The value of mediastinoscopic staging in bronchial carcinoma is evaluated controversially. The literature gives a wide range of specificity of CT scans, varying from 30%-100% and 29%-95%, respectively [1, 2, 3]. We have reviewed a consecutive series of 182 patients who underwent a high-resolution mediastinal CT scan followed by mediastinoscopy (MS) because of pulmonary or mediastinal disease. The specificity of CT versus MS revealed 32% versus 100% and the sensitivity 47% versus 74%. Although we have observed complications and a limited histological prediction in the MS within the paratracheal area on the left side, we continue to recommend a standard staging MS, taking this area into careful consideration.
Meffert
R
R
Chirurgische Universitätsklinik, Marienhospital, Herne.
Brune
A
A
Horstmann
R
R
Krawzak
H W
HW
Hohlbach
G
G
D002283:Carcinoma, Bronchogenic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008198:Lymph Nodes / Q000473:pathology*; D008481:Mediastinoscopy; D009367:Neoplasm Staging; D011379:Prognosis; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed
Stellenwert der Mediastinoskopie versus Thorax-CT zur Vorhersage mediastinaler Tumorlymphknoten.