Parker L A, Mauro M A, Delany D J, King C W
Department of Radiology, University of North Carolina School of Medicine, North Carolina Memorial Hospital, Chapel Hill.
J Comput Assist Tomogr. 1991 Nov-Dec;15(6):943-7. doi: 10.1097/00004728-199111000-00007.
Medical records and radiologic studies of 238 patients with non-small cell lung cancer who had preoperative evaluation by chest radiography and CT were reviewed. Thirty-six patients were staged as T1N0M0 by chest radiograph. Of this group, 18 (50%) had abnormalities on CT requiring additional evaluation. Confirmation of abnormalities was by tissue sampling or clinical follow-up. Evidence for unresectable spread of disease was obtained in 12 (33%). We conclude that routine preoperative staging of T1N0M0 lung cancer with CT has a positive impact on patient management.
回顾了238例接受胸部X线和CT术前评估的非小细胞肺癌患者的病历和放射学研究。胸部X线检查将36例患者分期为T1N0M0。在这组患者中，18例（50%）CT检查有异常，需要进一步评估。通过组织取样或临床随访证实异常情况。12例（33%）发现有不可切除的疾病扩散证据。我们得出结论，CT对T1N0M0肺癌进行常规术前分期对患者的治疗管理有积极影响。
