Endoscopic ultrasound via the esophagus: A safe and sensitive way for staging mediastinal lymph nodes in lung cancer

Uffe Bodtger, Paul Clementsen, Jouke Annema, Peter Vilmann

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

    Abstrakt

    Accurate, safe and fast mediastinal staging in lung cancer is pivotal to identifying patients who will benefit from surgical treatment. Imaging techniques have insufficient diagnostic power and in most cases do not abolish the need for invasive staging. A literature review using the search words "endoscopic ultrasound (EUS) and lung cancer" in PubMed was conducted. Invasive procedures (mediastinoscopy, thoracoscopy/-tomy) are the gold standard. The specificity of EUS was between 97 and 100%, and sensitivity 90 to 92%. The sensitivity was lower in studies published before 2000, and in computed tomography (CT) node-negative patients. EUS is the cheapest procedure in mediastinal staging. EUS results were associated with survival and reduced the need for invasive procedures to approximately 50% with a complication rate of approximately 0%. EUS is safe, accurate, and has a huge impact on management of mediastinal staging in lung cancer.

    OriginalsprogEngelsk
    Sider (fra-til)4-8
    Antal sider5
    TidsskriftThoracic Cancer
    Vol/bind1
    Udgave nummer1
    DOI
    StatusUdgivet - 1 maj 2010

    Fingeraftryk Udforsk hvilke forskningsemner 'Endoscopic ultrasound via the esophagus: A safe and sensitive way for staging mediastinal lymph nodes in lung cancer' indeholder.

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