کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4215471 | 1281136 | 2015 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Optimiser le bilan d'extension locorégional
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کلمات کلیدی
Tomodensitométrie - CTStadification - استاد سازیTomodensitometry - تامودانسیتومتریTomographie par émission de positons - توموگرافی انتشار PositronPositron emission tomography - توموگرافی گسیل پوزیترونÉchoendoscopie bronchique - زخم برونشCancer bronchique - سرطان برونشLung cancer - سرطان ریهEndobronchial ultrasound - سونوگرافی EndobronchialStaging - مراحل
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پزشکی ریوی و تنفسی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
The initial assessment must meet four goals: assessing the clinical status, obtain a histological proof of diagnosis, set the stage cTNM, and if resectability, define whether the patient is operable. The locoregional staging modalities are based on national and international guidelines. Physical examination should be performed. Thorax CT-scan with contrast should be performed in all patients, except contraindication. CT can determine tumor size, bronchus, pleural, mediastinal and vascular invasion. The sensitivity and specificity of CT scan for identifying mediastinal lymph node metastasis is 61% and 79%, respectively. PET-CT is not indicated systematically but only for patients considered for curative intent treatment. The sensitivity and specificity of PET-CT for identifying mediastinal lymph node metastasis is 80 % and 80-90%, respectively. For patients with extensive mediastinal infiltration, CT assessment is sufficient. In patients with discrete mediastinal lymph node enlargement or PET uptake in mediastinal nodes or a centrally located tumour or a tumour > 3cm or N1 node, an invasive staging of the mediastinum is indicated. A needle technique (EBUS-TBNA or EUS-FNA or combined EBUS/EUS) is recommended over surgical staging. Stage IIIAN2 should be classified into potentially resectable N2, potentially resectable N2 but risk of incomplete resection and unresectable N2. The adherence to guidelines and organizational factors improve the management.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Revue des Maladies Respiratoires Actualités - Volume 7, Issue 4, November 2015, Pages 331-339
Journal: Revue des Maladies Respiratoires Actualités - Volume 7, Issue 4, November 2015, Pages 331-339
نویسندگان
V. Gounant, A. Khalil, K. Kerrou, H. Masmoudi, M. Giol, N. Roszenstajn, T. Vieira, P. Crequit, A.-M. Ruppert, A. Lavole, J. Fleury-Feith, M. Antoine, M. Wislez, J. Assouad, J. Cadranel,