MULTI-ORGAN SCANS FOR STAGING LUNG-CANCER - CORRELATION WITH CLINICAL EVALUATION

  • 1 January 1977
    • journal article
    • research article
    • Vol. 73  (5) , 653-659
Abstract
Patients (100) with findings suggestive of resectable bronchogenic carcinoma were studied prospectively to determine if routine liver, brain and bone scans (multiorgan scans) detected metastases which were not suggested by a history, physical examination and serum chemistries. Multiorgan scans were compared with clinical evaluations in 52 patients with operable bronchogenic carcinoma. There was a discordance between scans and clinical evaluations in 25/153 scans (16%). Two of the 22 negative scans in patients with abnormal clinical findings were false negative. Sixteen of the 17 positive scans in patients with normal clinical findings were false positive. One of the 131 scans done in patients with no evidence of metastases on clinical evaluation was true positive. These data indicate that the routine use of multiorgan scans in the initial staging of potentially resectable bronchogenic carcinoma is not justified.

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