非小细胞肺癌患者手术切除的选择
Selection of patients with non-small-cell lung carcinoma for surgical resection.
作者信息
Rizk N W
出版信息
West J Med. 1985 Nov;143(5):636-42.
Abstract
Cancer of the lung is rapidly increasing in incidence in both sexes and soon will overtake breast cancer as the most deadly cancer in women. Selection of patients with non-small-cell carcinoma for surgical resection is largely based on preoperative clinical staging, using the American Joint Committee on Cancer's TNM-based group staging protocol. Determining the presence or absence of mediastinal nodal metastasis is paramount and is currently best achieved by computed tomographic scanning of the chest and biopsy of enlarged nodes via mediastinoscopy. Certain types of stage III lesions, previously excluded from surgical treatment, are now recognized as operable.
摘要
肺癌在男性和女性中的发病率都在迅速上升，很快将超过乳腺癌，成为女性中最致命的癌症。非小细胞癌患者手术切除的选择主要基于术前临床分期，采用美国癌症联合委员会基于TNM的分组分期方案。确定纵隔淋巴结转移的有无至关重要，目前通过胸部计算机断层扫描和经纵隔镜对肿大淋巴结进行活检能最好地实现这一点。某些以前被排除在手术治疗之外的III期病变现在被认为是可手术的。
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