Glazer H S, Aronberg D J, Sagel S S, Emami B
AJR Am J Roentgenol. 1984 Mar;142(3):487-94. doi: 10.2214/ajr.142.3.487.
After pneumonectomy for bronchogenic carcinoma, detection of recurrent disease in the ipsilateral hemithorax or mediastinum is often difficult. The authors discuss the utility of CT in the evaluation of 18 postpneumonectomy patients who had developed new clinical symptoms. In six patients without documented tumor recurrence, CT demonstrated a normal postpneumonectomy appearance. In the other 12, CT confirmed the clinical impression of recurrent neoplasm (10 prospectively, two retrospectively), which appeared either as enlarged mediastinal lymph nodes or as a soft-tissue mass projecting into the normal near-water-density postpneumonectomy space. In only five of these patients were plain chest radiographs suggestive of recurrence (two prospectively, three retrospectively). The accurate assessment of the presence and extent of recurrent neoplasm by CT was important in planning radiotherapy in eight patients.
在因支气管源性癌行肺切除术后，检测同侧半胸或纵隔的复发性疾病往往很困难。作者讨论了CT在评估18例出现新临床症状的肺切除术后患者中的应用价值。在6例无肿瘤复发记录的患者中，CT显示肺切除术后表现正常。在另外12例患者中，CT证实了复发性肿瘤的临床印象（10例为前瞻性诊断，2例为回顾性诊断），表现为纵隔淋巴结肿大或软组织肿块突入肺切除术后正常的近水样密度区域。这些患者中只有5例的胸部平片提示复发（2例为前瞻性诊断，3例为回顾性诊断）。CT对复发性肿瘤的存在和范围进行准确评估，对8例患者的放疗计划制定具有重要意义。
