INDICATIONS FOR TRANS-CERVICAL MEDIASTINOSCOPY IN PATIENTS WITH SMALL PERIPHERAL BRONCHIAL-CARCINOMA

  • 1 January 1979
    • journal article
    • research article
    • Vol. 148  (6) , 860-862
Abstract
A series of 80 patients with roentgenographic evidence of bronchial carcinomas 3 cm or less in size was analyzed as to the incidence of mediastinal lymph node metastases [TNM]. Patients (40) underwent transcervical mediastinoscopy prior to thoracotomy and 40 patients did not. Three patients with large cell undifferentiated carcinoma had mediastinal TNM which could be detected by transcervical mediastinoscopy. None of the 40 patients who did not undergo mediastinoscopy had palpable evidence of mediastinal TNM at thoractomy. The survival rates for the 2 groups of patients were similar. Mediastinal exploration is not routinely indicated in patients with peripheral T1, N1, Mo lesions.

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