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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1992-3-5
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pubmed:abstractText |
We evaluated the accuracy of computed tomography (CT) and of surgical assessment for lymph node staging prospectively in 108 patients with bronchogenic carcinoma. For CT/surgical assessment a sensitivity of 29/90%, a specificity of 93/63%, a positive predictive value of 49/39% and a negative predictive value of 85/96% were calculated on a node-by-node basis. Sensitivity and specificity of CT were highly influenced by the lymph node region studied and by typing of the tumor. Adenocarcinomas showed a high proportion of normal-sized metastatic lymph nodes whereas squamous cell carcinomas exhibited a high proportion of enlarged tumor-free lymph nodes. The diagnostic accuracy in predicting the correct N-stage by CT was determined with 54% for squamous cell carcinoma and 56% for adenocarcinoma. The surgeon predicted the N-stage correctly in 39% of squamous cell carcinoma and 69% of adenocarcinoma. In conclusion, accuracy of CT-scan is too low to renounce mediastinoscopy for routine use in preoperative staging of bronchogenic carcinoma.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0009-4722
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
62
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
885-90
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1773636-Adenocarcinoma,
pubmed-meshheading:1773636-Adult,
pubmed-meshheading:1773636-Aged,
pubmed-meshheading:1773636-Aged, 80 and over,
pubmed-meshheading:1773636-Carcinoma, Squamous Cell,
pubmed-meshheading:1773636-Female,
pubmed-meshheading:1773636-Humans,
pubmed-meshheading:1773636-Lung Neoplasms,
pubmed-meshheading:1773636-Lymph Node Excision,
pubmed-meshheading:1773636-Lymph Nodes,
pubmed-meshheading:1773636-Male,
pubmed-meshheading:1773636-Mediastinum,
pubmed-meshheading:1773636-Middle Aged,
pubmed-meshheading:1773636-Neoplasm Staging,
pubmed-meshheading:1773636-Predictive Value of Tests,
pubmed-meshheading:1773636-Prospective Studies,
pubmed-meshheading:1773636-Sensitivity and Specificity,
pubmed-meshheading:1773636-Tomography, X-Ray Computed
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pubmed:year |
1991
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pubmed:articleTitle |
[The value of computerized tomography and of the surgical assessment for lymph node staging in bronchial carcinoma. A prospective study].
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pubmed:affiliation |
Chirurgische Klinik und Poliklinik, Universität München.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract,
Randomized Controlled Trial
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