Milleron B, Friard S, Carette M F, Frija J, Herman D, Akoun G
Rev Pneumol Clin. 1986;42(3):125-32.
The value of computerized tomography (CT) was compared with that of conventional exploratory methods (standard radiology, bronchial tomography and endoscopy) in 60 patients with non-anaplastic bronchial cancer evaluated preoperatively. After CT examination thoracotomy was avoided in 14 (23%) patients with local or distal extension. CT proved more sensitive than conventional methods in the assessment of pleural and/or parietal extension, and of direct or lymph-node mediastinal invasion (67% vs 33%, 50% vs 33%, 64% vs 45% respectively). Similar results (75%) were obtained in cases with hilar lymph-node involvement. However, caution must be exerted before excluding thoracotomy, since CT may give false-positive results.
对60例术前评估为非间变性支气管癌的患者，比较了计算机断层扫描（CT）与传统探查方法（标准放射学、支气管断层扫描和内窥镜检查）的价值。在14例（23%）有局部或远处转移的患者中，经CT检查后避免了开胸手术。在评估胸膜和/或胸壁转移以及直接或淋巴结纵隔侵犯方面，CT比传统方法更敏感（分别为67%对33%、50%对33%、64%对45%）。在有肺门淋巴结受累的病例中也得到了类似的结果（75%）。然而，在排除开胸手术之前必须谨慎，因为CT可能会给出假阳性结果。
