Musset D, Grenier P, Lecocguic Y, Lutgen E, Hauuy M P, Mouehli M M, Girard P
J Radiol. 1986 Oct;67(10):675-9.
A prospective study of 107 patients was performed for assessing the CT contribution in preoperative staging of lung carcinoma. Thoracotomy was performed in all patients. The results demonstrated that CT is useful in all cases when surgery is indicated. Nevertheless CT gave not benefit in cases of peripheral small tumors T1N0 classified after standard chest radiograph and fibroscopy. The statistical analysis allowed to define the most accurate size criteria to declare mediastinal nodes as hypertrophied. Furthermore this study confirms that CT criteria of mediastinal and chest wall involvement have to be very strict.
对107例患者进行了一项前瞻性研究，以评估CT在肺癌术前分期中的作用。所有患者均接受了开胸手术。结果表明，在所有建议进行手术的病例中，CT都很有用。然而，对于标准胸片和纤维镜检查后分类为外周小肿瘤T1N0的病例，CT并无益处。统计分析确定了将纵隔淋巴结判定为肥大的最准确尺寸标准。此外，本研究证实，纵隔和胸壁受累的CT标准必须非常严格。
