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  • Title: [Clinical value of cervical mediastinoscopy in non-small cell lung cancer of stage I].
    Author: Zhang SY, Wang X, Zhu ZH, Zeng CG, Rong TH, Zheng L, Fu JH, Xie ZM, Zhang X, Yu H.
    Journal: Ai Zheng; 2005 Mar; 24(3):349-52. PubMed ID: 15757540.
    Abstract:
    BACKGROUND & OBJECTIVE: Whether to apply routine mediastinoscopy to non-small cell lung cancer (NSCLC) of stage I remains controversial. This study was to evaluate application of cervical mediastinoscopy in detecting mediastinal lymph nodes status of NSCLC of stage I. METHODS: The cervical mediastinoscopy was performed in 31 patients with NSCLC of stage I prior to thoracotomy from Oct. 2000 to Feb. 2004. Mediastinoscopy-positive (stage N2) patients received neoadjuvant chemotherapy. RESULTS: Of the 31 patients, 2 had disease of stage N2, and 1 had disease of stage N3 (right scalenus lymph node metastasis); positive rate of mediastinosopy was 10% (3/31), sensitivity, specificity, and accuracy of mediastinoscopy were 75%, 100%, and 97%, respectively. CONCLUSION: Mediastinoscopy might be a routine examination for patients with NSCLC of stage I.
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