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J Thorac Cardiovasc Surg 2001;122:849-850
© 2001 The American Association for Thoracic Surgery

Editorials

If in doubt...

Michael A. Maddaus, MD

From the Department of Surgery, University of Minnesota, Minneapolis, Minn.

Received for publication Aug 8, 2001. Accepted for publication Sept 13, 2001. Address for reprints: Michael Maddaus, MD, Department of Surgery, University of Minnesota, 420 Delaware St, Box 207, Minneapolis, MN 55455.


See related article on page 891.

If in doubt, give the patient the benefit of the doubt." Dr Robert Ginsberg taught me this while I trained with him in the early 1990s at Memorial Sloan-Kettering Cancer Center. Since that moment, I have adhered to this principle, with frequent significant benefit to my patients.

Noninvasive radiologic preoperative staging of non–small cell lung cancer (NSCLC) has dramatically changed over the past decade. High-resolution spiral computed tomography (CT) can now delineate nearly all enlarged hilar and mediastinal lymph nodes and can detect other lung nodules as small as 1.0 mm. Positron emission tomography (PET) scanning now provides a whole-body image search for metastases. Whether CT or PET is used, a problem arises when a result is equivocal or uncertain. With PET scanning, the answer to a negative result may be easy—operate. A positive . . . [Full Text of this Article]


Related Article

Serum biomarkers facilitate the recognition of early- stage cancer and may guide the selection of surgical candidates: A study of carcinoembryonic antigen and tissue polypeptide antigen in patients with operable non–small cell lung cancer
Gianfranco Buccheri and Domenico Ferrigno
J. Thorac. Cardiovasc. Surg. 2001 122: 891-899. [Abstract] [Full Text] [PDF]





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