HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Jolly, P. C. Articles by Anderson, R. P. Search for Related Content PubMed PubMed Citation Articles by Jolly, P. C. Articles by Anderson, R. P.

The Journal of Thoracic and Cardiovascular Surgery, Vol 79, 366-371, Copyright © 1980 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Anterior and cervical mediastinoscopy for determining operability and predicting resectability in lung cancer

PC Jolly, W Li and RP Anderson

Forty-seven (39%) of 120 patients with presumably operable lung cancer were found to have metastatic tumor in mediastinal lymph nodes by mediastinoscopy. Unnecessary thoracotomy was avoided in these 47 patients. Results of anterior mediastinal node biopsy were positive in 16 (38%) of 42 patients with primary tumors of the left lung who were evaluated by anterior mediastinoscopy without resection or division of costal cartilage. Thirty-one (40%) of 78 patients with primary tumors of the right lung had positive results of mediastinal node biopsy as demonstrated by cervical mediastinoscopy. Sixty-seven percent of patients with centrally located tumors, 43% with adenocarcinoma, and 57% with undifferentiated carcinoma had mediastinal lymph node metastasis. Negative results of anterior mediastinoscopy in patients with primary tumors of the left lung predicted resectability in 25 (96%) of 26 instances. Forty-three (91%) of 47 patients with primary tumors of the right lung and negative results of cervical mediastinoscopy had resectable tumors. Anterior mediastinoscopy appears to be as accurate in the evaluation of mediastinal lymph node metastasis in left lung cancer as cervical mediastinoscopy is in the evaluation of right lung cancer.

This article has been cited by other articles:

				A. T. Rocha, M. McCormack, G. Montana, and G. Schreiber Association Between Lower Lobe Location and Upstaging for Early-Stage Non-small Cell Lung Cancer Chest, April 1, 2004; 125(4): 1424 - 1430. [Abstract] [Full Text] [PDF]

				J. Hutter, W. Junger, K. Miller, and E. Moritz Subxiphoidal videomediastinoscopy for diagnostic access to the anterior mediastinum Ann. Thorac. Surg., October 1, 1998; 66(4): 1427 - 1428. [Abstract] [Full Text] [PDF]

				M. Pauwels, P. Van Schil, W. De Backer, F. Van den Brande, and E. Eyskens Repeat mediastinoscopy in the staging of lung cancer Eur J Cardiothorac Surg, September 1, 1998; 14(3): 271 - 273. [Abstract] [Full Text] [PDF]

				I. J. Cybulsky and W. F. Bennett Mediastinoscopy as a routine outpatient procedure Ann. Thorac. Surg., July 1, 1994; 58(1): 176 - 178. [Abstract] [PDF]

				J. D. Urschel, D. F. Vretenar, W. J. Dickout, and S. S. Nakai Cerebrovascular accident complicating extended cervical mediastinoscopy Ann. Thorac. Surg., March 1, 1994; 57(3): 740 - 741. [Abstract] [PDF]

				L.-A. Best, M. Munichor, M. Ben-Shakhar, J. Lemer, C. Lichtig, and H. Peleg The Contribution of Anterior Mediastinotorny in the Diagnosis and Evaluation of Diseases of the Mediastinum and Lung Ann. Thorac. Surg., January 1, 1987; 43(1): 78 - 81. [Abstract] [PDF]

				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]

				R. J. Lewis, G. E. Sisler, and J. W. Mackenzie Repeat Mediastinoscopy Ann. Thorac. Surg., February 1, 1984; 37(2): 147 - 149. [Abstract] [PDF]

				J. W. Lewis Jr., B. L. Madrazo, S. C. Gross, W. R. Eyler, D. J. Magilligan Jr., P. A. Kvale, and R. A. Rosen The Value of Radiographic and Computed Tomography in the Staging of Lung Carcinoma Ann. Thorac. Surg., November 1, 1982; 34(5): 553 - 558. [Abstract] [PDF]