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  • Title: Mediastinoscopy: not needed preoperatively in CT-negative lung carcinoma?
    Author: Liippo K, Puhakka H, Katevuo K, Reunanen K, Vänttinen E.
    Journal: ORL J Otorhinolaryngol Relat Spec; 1989; 51(3):192-5. PubMed ID: 2734008.
    Abstract:
    The objective was to investigate the necessity of mediastinoscopy in preoperative staging of lung carcinoma in 57 operable patients. Noninvasive radiology was compared to mediastinoscopy and thoracotomy. Computed tomography (CT-scan) and mediastinoscopy were in agreement in 40 cases (70%). CT-scan was negative in 26 patients, of which 4 were false negatives. Mediastinoscopy is therefore of no benefit preoperatively for 85% (22 out of 26) of patients. Consequently, we have changed our staging policy and only patients with positive CT-scan are now subjected to mediastinoscopy.
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