Kriedemann E, Rotte K H, Dallüge K H, Grunau H
Arch Geschwulstforsch. 1986;56(6):435-44.
In 54 patients with small-cell bronchial carcinoma, investigated with conventional X-ray technique and computer tomography, CT afforded a considerable extension of findings in regard to mediastinal tumor and metastatic spread, as well as in the detection of supraclavicular and pleural metastases. Also, the process of remission and renewed tumor growth could be observed better. Thus, CT constitutes quite an acquisition to therapy planning. The investigations carried out simultaneously in the brain region did not appreciably add to the findings in comparison to scintigraphy. In contrast, in the abdominal region, we have discovered liver metastases, subrenal metastases and lymph-node metastases both at first investigations and at controls. At post-mortem, however, we found kidney metastases that were not described in the CT but which may possibly have arisen prefinally. Altogether, thoracal and abdominal investigations with CT prior to onset of therapy and subsequent control are a valuable addition to therapy planning.
对54例小细胞支气管癌患者采用传统X线技术和计算机断层扫描（CT）进行检查，结果显示，CT在纵隔肿瘤、转移扩散以及锁骨上和胸膜转移的检测方面，能显著拓展检查结果。此外，还能更好地观察缓解过程和肿瘤的再次生长情况。因此，CT对治疗方案的制定有很大帮助。与闪烁扫描相比，同时对脑部进行的检查并没有明显增加检查结果。相反，在腹部区域，我们在初次检查和复查时均发现了肝转移、肾下转移和淋巴结转移。然而，在尸检时，我们发现了CT未描述的肾转移，这些转移可能在临终前就已出现。总之，在治疗开始前及后续复查时，对胸部和腹部进行CT检查，对治疗方案的制定是一项有价值的补充。
