Corris P A, Kertes P J, Jennings K, Morritt G N, Neville E, Gibson G J
Thorax. 1986 Feb;41(2):138-41. doi: 10.1136/thx.41.2.138.
Cardiac invasion by bronchial carcinoma may prevent successful resection but may be undetected before operation. In a retrospective analysis of 100 consecutive thoracotomies nine patients had unsuspected cardiac invasion by tumour. A prospective study of preoperative two dimensional echocardiography was therefore undertaken in patients with bronchial carcinoma who had no clinical evidence of cardiac tumour. Comparison with anatomical findings was possible in 65 patients in whom an echocardiogram of suitable quality had been obtained. There was one false negative among 55 negative echocardiograms and three false positives among 10 positive echocardiograms; non-malignant pericardial disease accounted for the echocardiographic finding in one of the latter. The predictive value of a negative test was 98%, and the predictive value of a positive test was highest (80%) if the echocardiogram suggested atrial invasion.
支气管癌侵犯心脏可能会妨碍成功切除，但术前可能未被发现。在对连续100例开胸手术进行的回顾性分析中，有9例患者存在未被怀疑的肿瘤侵犯心脏情况。因此，对没有心脏肿瘤临床证据的支气管癌患者进行了术前二维超声心动图的前瞻性研究。在65例获得了质量合适的超声心动图的患者中，可以将超声心动图结果与解剖学发现进行比较。55份阴性超声心动图中有1例假阴性，10份阳性超声心动图中有3例假阳性；其中1例假阳性的超声心动图表现是由非恶性心包疾病引起的。阴性检查的预测价值为98%，如果超声心动图提示心房受侵，阳性检查的预测价值最高（80%）。
