Waller D, Skwarski K M
Glenfield Hospital, Leicester LE3 9QP, UK.
J R Coll Physicians Edinb. 2013;43(2):137-43. doi: 10.4997/JRCPE.2013.211.
Lung cancer staging has evolved with the advent of endobronchial and endoscopic ultrasound (EBUS and EUS) as an alternative to mediastinoscopy and other surgical staging techniques. This has led to the debate now as to what the first-line staging investigation should be. Mr Waller makes the case that although EBUS and EUS are welcomed staging techniques, mediastinoscopy still has an important role as the first-line staging investigation in specific scenarios (when there is potentially surgically resectable mediastinal disease). Dr Skwarski argues that EBUS and EUS should be used in conjunction with CT-PET and considered as a complete alternative to mediastinoscopy.
随着支气管内超声和内镜超声（EBUS和EUS）的出现，肺癌分期得到了发展，它们可替代纵隔镜检查和其他手术分期技术。这引发了关于一线分期检查应该是什么的争论。沃勒先生认为，尽管EBUS和EUS是受欢迎的分期技术，但在特定情况下（当纵隔疾病有可能通过手术切除时），纵隔镜检查作为一线分期检查仍具有重要作用。斯瓦尔斯基博士则认为，EBUS和EUS应与CT-PET联合使用，并被视为纵隔镜检查的完全替代方法。
