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Ann Thorac Surg 2002;73:1556-1557
© 2002 The Society of Thoracic Surgeons

Invited commentary

^a General Thoracic Surgeons of Connecticut, 330 Orchard Street, Suite 300, New Haven, CT 06511 USA

e-mail: rbponn@aol.com

The authors describe a novel technique for assessing the visceral pleura during operations for lung cancer—intraoperative touch cytology (ITC). Overall, ITC was positive in 17% of cases versus 7% for pleural lavage cytology (PLC). It is noteworthy that ITC was positive in a significant number of patients without pleural transgression detected by standard histology. There are several potential ramifications of these findings. The first question is whether this technique should supercede standard histology in classifying the T factor for staging lung cancer. Unless and until there is considerable further experience, the answer must be negative. If a surgeon is concerned that invasion . . . [Full Text of this Article]

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Diagnosis of visceral pleural invasion by lung cancer using intraoperative touch cytology

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Ann. Thorac. Surg. 2002 73: 1552-1556. [Abstract] [Full Text] [PDF]