Hong Kong Respiratory Medicine

Joint Website of HKTS, ACCP HK & Macau, HKLF

  • Increase font size
  • Default font size
  • Decrease font size

2010 Nov 24 - JAMA Editorial: Staging Strategies for Lung Cancer

2010 Nov 24 - JAMA Editorial: Staging Strategies for Lung Cancer

E-mail Print PDF

Mark D. Iannettoni, MD, MBA. JAMA. 2010;304(20):2296-2297. doi:10.1001/jama.2010.1723

Lung cancer has become perhaps the most important cancer in the United States. The incidence has continued to increase, and lung cancer is now the leading cause of cancer death.1 However, most patients with lung cancer have advanced-stage disease when they first present and are not amenable to curative treatment. For the remainder, a careful search for metastatic or locally invasive tumors must be made prior to potentially curative lung resection. The lymph node drainage system for the lungs lies primarily in the mediastinum, and because it is a compact space enclosed in a rigid, bony cage, finding small lymph nodes that contain cancer is challenging.

Computed tomographic (CT) evaluation of the chest reliably identifies and characterizes lung tumors but is less useful for evaluating the mediastinum for malignant disease. Mediastinal evaluation by CT is only 51% sensitive (95% confidence interval [CI], 47%-54%) and 85% . . . [Full Text of this Article]

Weblink here
 

Administrators' Area (Requires Login)

Who's Online

We have 14 guests online

Statistics since July 2009

Content View Hits : 679560