Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1981-7-9
pubmed:abstractText
The lateral position test (LPT) accurately measures differential ventilation of the lungs when the mediastinum is mobile. The quantitative perfusion lung scan (PLS) also correlates well with differential ventilation but is not dependent on mediastinal movement. If tumor metastasis to mediastinal lymph nodes (MLN) inhibits mediastinal movement, then the PLS may give discordant values for differential ventilation from that of the LPT. Before mediastinoscopy or thoracotomy or both, 14 cases of lung cancer were prospectively evaluated by comparing the relative ventilation of the involved lung as determined by LPT and PLS. Seven patients who had no evidence of MLN involvement had nearly equal ventilation by the two techniques (r = .94), and the absolute difference was always less than 12 percent (mean, 4.4 percent). Seven patients with MLN involvement had unequal ventilation as determined by LPT and PLS (r = 0.07), and between the two techniques there was a difference of at least 13 percent (mean, 27.3 percent). We conclude that the LPT used in combination with the PLS is an accurate, economical, and noninvasive technique for suggesting MLN metastasis and, thus, tentatively staging carcinoma of the lung. Those patients with discordant values should probably undergo mediastinoscopy before thoracotomy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0012-3692
pubmed:author
pubmed:issnType
Print
pubmed:volume
79
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
406-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1981
pubmed:articleTitle
Use of lateral position test and perfusion lung scan in predicting mediastinal metastases.
pubmed:publicationType
Journal Article