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  • Title: [Clinical examination of resected cases of lung cancer with pleural dissemination].
    Author: Akaogi E, Tsukada H, Mitsui K, Sohara Y, Funakoshi N, Yamabe K, Kamiyama K, Endo S, Yamamoto T, Fujiwara A.
    Journal: Nihon Kyobu Shikkan Gakkai Zasshi; 1989 Oct; 27(10):1140-5. PubMed ID: 2615066.
    Abstract:
    Preoperative examination using chest computed tomography (CT) of cases with pleural dissemination and no pleural effusion revealed small disseminated nodules of the visceral pleura. However, chest CT could not exactly diagnose those of the parietal pleura. The indications of operation, especially pan-pleuropneumonectomy, for cases with pleural dissemination should be limited to the following cases; those in which no pleural effusion and no metastasis to the mediastinal lymphnodes has been clinically proved and in which it is not necessary to perform extensive combined resection other than pan-pleurectomy and partial resection of the diaphragm and/or pericardium. Well differentiated histological types of lung cancer are better indications for surgical treatment.
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