Primer akciğer kanserli olgularda pre- ve postoperatif evrelemenin karşılaştırılması
Küçük Resim Yok
Tarih
1999
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı, opere edilen primer akciğer karsinomlu olguların pre ve postoperatif patolojik tanı ve evreleme bulgularının uyumunu karşılaştırmaktır. Primer akciğer karsinomu tanısıyla opere edilen 32 olgunun pre ve postoperatif tanıları ile evreleme bulguları retrospektif olarak gözden geçirildi. Toraks bilgisayarlı tomografisinde (TBT) kısa çapı 1 cm'den büyük olan lenf bezleri patolojik kabul edildi. Cerrahi tedavi öncesi olguların %46.9'u skuamöz hücreli, %21.9'u alt grubu belirlenememiş küçük hücreli dışı akciğer kanseri (KHDAK) tanısı alırken, sadece bir olgu adenokarsinom olarak tanımlandı. Operasyon sonrasında yine skuamöz hücreli karsinomun birinci sırada (%40.6) yer aldığı, ancak adenokarsinom sıklığının (%37.5) belirgin şekilde arttığı dikkat çekti. 19 (%59.4) olgunun klinik ve patolojik evrelerinin aynı olduğu gözlendi. Mediastinal lenf bezlerini değerlendirmede TBT'nin duyarlılığı %75, özgüllüğü ise %76.9 olarak hesaplandı. Bu çalışma, KHDAK'lerin alt grupları daha iyi belirlendiğinde adenokanser sıklığının artacağını ve daha doğru bir evreleme için TBT rehberliğinde invaziv evrelemenin gerekliliğini işaret etmektedir.
To compare the concordance of pre- and postoperative pathological diagnosis and stages of the cases with surgically treated primary lung carcinoma. Thirty-two cases with surgically treated primary lung carcinoma were retrospectively reviewed for their pre- and postoperative pathological diagnoses and stages. In the preoperative assessment, lymph nodes of shortest transverse axis greater than 1 cm on thoracic computed tomography (TCT) were accepted as pathologic. By preoperative staging 46.9% of the patients were diagnosed with squamous cell carcinoma, while 21.9% were non-small cell lung carcinoma (NSCLC) whose subgroups were not defined. Only one case was diagnosed as adenocarcinoma. After surgical treatment, pathological examination of the specimens revealed squamous cell carcinoma in 40.6% of the cases, and with a marked increase, adenocarcinoma in 37.5%. Nineteen (59.4%) of the patients were found to have the same pre- and postoperative clinical and pathologic stage. The sensitivity and specifity of TCT for mediastinal nodes were 75% and 76.9%, respectively. The study demonstrated that the incidence of adenocarcinoma would increase if the subgroups of NSCLC were better determined, and also indicated the necessity of invasive staging in guidance of TCT for more accurate staging.
To compare the concordance of pre- and postoperative pathological diagnosis and stages of the cases with surgically treated primary lung carcinoma. Thirty-two cases with surgically treated primary lung carcinoma were retrospectively reviewed for their pre- and postoperative pathological diagnoses and stages. In the preoperative assessment, lymph nodes of shortest transverse axis greater than 1 cm on thoracic computed tomography (TCT) were accepted as pathologic. By preoperative staging 46.9% of the patients were diagnosed with squamous cell carcinoma, while 21.9% were non-small cell lung carcinoma (NSCLC) whose subgroups were not defined. Only one case was diagnosed as adenocarcinoma. After surgical treatment, pathological examination of the specimens revealed squamous cell carcinoma in 40.6% of the cases, and with a marked increase, adenocarcinoma in 37.5%. Nineteen (59.4%) of the patients were found to have the same pre- and postoperative clinical and pathologic stage. The sensitivity and specifity of TCT for mediastinal nodes were 75% and 76.9%, respectively. The study demonstrated that the incidence of adenocarcinoma would increase if the subgroups of NSCLC were better determined, and also indicated the necessity of invasive staging in guidance of TCT for more accurate staging.
Açıklama
Anahtar Kelimeler
Kalp ve Kalp Damar Sistemi
Kaynak
Türk Göğüs Kalp Damar Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
7
Sayı
3
