Curtis A M, Ravin C E, Deering T F, Putman C E, McLoud T C, Greenspan R H
Radiology. 1982 Jul;144(1):27-9. doi: 10.1148/radiology.144.1.7089262.
In a prospective study, 62 patients with proved melanoma and negative chest radiographs underwent full-lung tomography. Of 109 examinations performed, 12 patients had positive findings on tomography; nine were false-positive and three were true-positive. Of the true-positive examinations, two patients already had widespread metastatic disease and one had an advanced local lesion. Clinical staging and therapy were changed in only one patient as a result of information provided by full-lung tomography. It appears from these results that full-lung tomography is of limited use in detection of metastases from melanoma in the presence of a negative chest radiograph.
在一项前瞻性研究中，62例经证实患有黑色素瘤且胸部X线片阴性的患者接受了全肺断层扫描。在进行的109次检查中，12例患者在断层扫描中有阳性发现；9例为假阳性，3例为真阳性。在真阳性检查中，2例患者已有广泛转移性疾病，1例有局部晚期病变。仅1例患者因全肺断层扫描提供的信息而改变了临床分期和治疗方案。从这些结果看来，在胸部X线片阴性的情况下，全肺断层扫描在检测黑色素瘤转移方面用途有限。
