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Helmut Unruh
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Ann Thorac Surg 1986;41:224-229
© 1986 The Society of Thoracic Surgeons

Articles

Mediastinal Assessment for Staging and Treatment of Carcinoma of the Lung

Helmut Unruh, M.D., Ray Chu-Jeng Chiu, M.D., Ph.D.*

Department of Surgery, Montreal General Hospital and McGill University, Montreal, PQ, Canada

Accepted for publication March 4, 1985.

* Address reprint requests to Dr. Chiu, The Montreal General Hospital, Room 947, 1650 Cedar Ave, Montreal, PQ, Canada H3G 1A4

Invasive diagnostic procedures for mediastinal assessment, such as mediastinoscopy, are necessitated by the importance of staging lung cancers, both to plan the treatment and to estimate the prognosis. Other noninvasive techniques may complement or be substituted for mediastinoscopy under certain specific clinical settings. Thus with the introduction of newer diagnostic technologies, such as computed axial tomography, the strategy for mediastinal assessment should be continually reevaluated. In this review, the diagnostic sensitivity, specificity, and overall accuracy of various techniques reported in the literature are examined to elucidate their current roles in assessing the mediastinal involvement in patients with lung cancer.






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Copyright © 1986 by The Society of Thoracic Surgeons.