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Ann Thorac Surg 1975;20:678-686
© 1975 The Society of Thoracic Surgeons

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Articles

Is Mediastinoscopy Necessary in the Evaluation of Lung Cancer?

From the Department of Surgery, University of California School of Medicine, San Francisco, Calif

^* Address reprint requests to Dr. Fishman, Department of Surgery, University of California Medical Center, San Francisco, Calif. 94143

The records of 96 consecutive patients who underwent mediastinoscopy and were ultimately shown to have bronchogenic carcinoma were reviewed. Indirect tests for mediastinal tumor metastases in these patients included bronchoscopy and chest roentgenograms in all 96, mediastinal laminagrams in 65, esophagograms in 27, carinal biopsy in 23, bronchograms in 5, pulmonary angiograms in 5, azygograms in 2, and aortograms in 2 patients.

Of the 43 patients in this series in whom all indirect tests revealed no metastases, mediastinoscopy showed nodal involvement in 11 (28%), who were thus spared unnecessary thoracotomy. On the other hand, if negative mediastinoscopy had not cast doubt on the validity of indirect tests that seemed to show metastases, an operation might actually have been denied to 14 patients who were ultimately proved to have anatomically resectable disease.

This article has been cited by other articles:

				H. Unruh and R. C.-J. Chiu Mediastinal Assessment for Staging and Treatment of Carcinoma of the Lung Ann. Thorac. Surg., February 1, 1986; 41(2): 224 - 229. [Abstract] [PDF]

				W. G. Graves, M. J. Martinez, P. L. Carter, M. J. Barry, and J. S. Clarke The Value of Computed Tomography in Staging Bronchogenic Carcinoma: A Changing Role for Mediastinoscopy Ann. Thorac. Surg., July 1, 1985; 40(1): 57 - 59. [Abstract] [PDF]