ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gilart, J. F.
Right arrow Articles by de Ugarte, A. V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gilart, J. F.
Right arrow Articles by de Ugarte, A. V.

Ann Thorac Surg 2000;70:1641-1643
© 2000 The Society of Thoracic Surgeons

Original articles: general thoracic

Extended cervical mediastinoscopy in the staging of bronchogenic carcinoma

Jorge Freixinet Gilart, MD, PhDa,b, Pablo Gámez García, MDa, Felipe Rodríguez de Castro, MD, PhDb, Pedro Rodríguez Suárez, MDa,b, Norberto Santana Rodríguez, MDa,b, Andrés Varela de Ugarte, MD, PhDa

a Thoracic Surgery and Respiratory Services, Hospital General Universitario de Gran Canaria, Las Palmas de Gran Canaria, Canary Islands, Spain
b Thoracic Surgery Service, Hospital Puerta de Hierro, Madrid, Spain

Address reprint requests to Dr Freixinet Gilart, Thoracic Surgery Service, Hospital General Universitario de Gran Canaria, Las Palmas de Gran Canaria, Canary Islands, Spain
e-mail: jfreixi{at}correo.hpino.rcanaria.es

Background. Extended cervical mediastinoscopy (ECM) is a technique in the staging of bronchogenic carcinoma described first by Ginsberg in 1984. To update our experience we have prospectively evaluated our results on 106 patients who underwent the technique from 1985 to 1998.

Methods. The ECM technique is performed once the operability of the patient has been evaluated, according to the computed tomography findings. The intervention is carried out at the same time as a standard cervical mediastinoscopy through the same incision following the same technique as previously published. The ECM is considered positive when metastatic nodes or tumor involvement directly in the paraaortic or subaortic regions is detected and confirmed histologically. Negative cases of ECM and positive cases of standard cervical mediastinoscopy are excluded from this study. A false-negative ECM is defined as the presence of infiltrated adenopathies at the paraortic level detected on postoperative histologic study.

Results. We had performed ECM in 106 patients, and a total of 13 were subsequently excluded for the reasons stated above. Of the remaining cases, 26 were positive, 61 negative and 6 had false-negative results with no false-positive results. Sensitivity was 81.2%, specificity 100%, accuracy 93.3%, positive predictive value 100%, and negative predictive value 91%. There were no complications with the technique.

Conclusions. We conclude that ECM is a useful technique for staging bronchogenic carcinoma that allows samples to be taken from paraortic and subaortic regions with minimally invasive techniques.




This article has been cited by other articles:


Home page
 JNMHome page
D. Hellwig, T. P. Graeter, D. Ukena, A. Groeschel, G. W. Sybrecht, H.-J. Schaefers, and C.-M. Kirsch
18F-FDG PET for Mediastinal Staging of Lung Cancer: Which SUV Threshold Makes Sense?
J. Nucl. Med., November 1, 2007; 48(11): 1761 - 1766.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
F. C. Detterbeck, M. A. Jantz, M. Wallace, J. Vansteenkiste, and G. A. Silvestri
Invasive Mediastinal Staging of Lung Cancer: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition)
Chest, September 1, 2007; 132(3_suppl): 202S - 220S.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Kuzdzal, M. Zielinski, B. Papla, A. Szlubowski, L. Hauer, T. Nabialek, W. Sosnicki, and J. Pankowski
Transcervical extended mediastinal lymphadenectomy--the new operative technique and early results in lung cancer staging
Eur. J. Cardiothorac. Surg., March 1, 2005; 27(3): 384 - 390.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
B. J. Park, R. Flores, R. J. Downey, M. S. Bains, and V. W. Rusch
Management of major hemorrhage during mediastinoscopy
J. Thorac. Cardiovasc. Surg., September 1, 2003; 126(3): 726 - 731.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. P. Graeter, D. Hellwig, K. Hoffmann, D. Ukena, C.-M. Kirsch, and H.-J. Schafers
Mediastinal lymph node staging in suspected lung cancer: comparison of positron emission tomography with F-18-fluorodeoxyglucose and mediastinoscopy
Ann. Thorac. Surg., January 1, 2003; 75(1): 231 - 236.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
E. M. Toloza, L. Harpole, F. Detterbeck, and D. C. McCrory
Invasive Staging of Non-small Cell Lung Cancer: A Review of the Current Evidence
Chest, January 1, 2003; 123(1_suppl): 157S - 166S.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
F. C. Detterbeck, M. M. DeCamp Jr., L. J. Kohman, and G. A. Silvestri
Invasive Staging: The Guidelines
Chest, January 1, 2003; 123(1_suppl): 167S - 175S.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A.J. Poncelet, M. Lonneux, E. Coche, B. Weynand, and Ph. Noirhomme
PET-FDG scan enhances but does not replace preoperative surgical staging in non-small cell lung carcinoma
Eur. J. Cardiothorac. Surg., September 1, 2001; 20(3): 468 - 475.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The Society of Thoracic Surgeons.