Groth Shawn S, Whitson Bryan A, Maddaus Michael A
University of Minnesota Department of Surgery, Division of General Thoracic and Foregut Surgery, MMC 207, 420 Delaware Street, SE, Minneapolis, MN 55455, USA.
Thorac Surg Clin. 2008 Nov;18(4):349-61. doi: 10.1016/j.thorsurg.2008.07.002.
In conclusion, accurate pretreatment staging of NSCLC patients is essential so that they undergo the most appropriate treatment. Imaging studies play an integral part in clinical staging. The preferred imaging method for staging the mediastinum is PET/CT, preferably integrated. Until the sensitivity and accuracy of imaging studies are equivalent to the available MLN biopsy techniques, all candidates for definitive therapy require histologic assessment of the mediastinum.
总之,准确的非小细胞肺癌患者治疗前分期至关重要,以便他们接受最合适的治疗。影像学检查在临床分期中起着不可或缺的作用。纵隔分期的首选影像学方法是PET/CT,最好是一体化的。在影像学检查的敏感性和准确性等同于现有的纵隔淋巴结活检技术之前,所有确定性治疗的候选患者都需要进行纵隔组织学评估。