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Failure of preoperative staging to assess unresectability in MO bronchogenic carcinoma
Author(s) -
Weiman Darryl S.,
Bolton J. W. Randolph,
Howard Martin L.,
Olsen Gerald N.,
Almond Carl H.,
Greene Frederick L.
Publication year - 1989
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19890215)63:4<767::aid-cncr2820630427>3.0.co;2-0
Subject(s) - medicine , bronchogenic carcinoma , thoracotomy , carcinoma , surgery , general surgery , radiology
Despite extensive preoperative staging, unresectability of a bronchogenic carcinoma may not be known until an exploratory thoracotomy is done. Failures in anatomic staging occur because of inability to detect local extent of hilar lesions and inability to detect small deposits of metastatic disease. At the University of South Carolina, nine of 75 patients who underwent thoracotomies were found to be unresectable. Using an extensive staging protocol, the “back out” thoracotomy rate can be reduced to a minimum whereas no patient is denied a chance for surgical cure.