In order to assess the accuracy of CT in predicting the resectability of lung cancer, a prospective study was performed on 96 patients undergoing thoracotomy. The tumors were classified preoperatively according to the TNM classification and the new international staging system for lung cancer, and scored as being resectable by lobectomy or pulmectomy, potentially resectable by lobectomy or pulmectomy, or nonresectable. Of the tumors predicted to be resectable or potentially resectable, 86.6% and 63% were radically resected, respectively, and the need for lobectomy versus pulmectomy was correctly estimated in 81.3% of them. The insufficiency of CT for defining lymph node metastases and infiltrative tumor growth was considered a marked disadvantage of the method.
American Thoracic Society: Clinical staging of primary lung cancer. Am. Rev. Respir. Dis.127 (1983), 659.
2.
BatraP.BrownK.CollinsJ. D.OvenforsC. O.SteckelR. J.: Evaluation of intrathoracic extent of lung cancer by plain chest radiography, computed tomography, and magnetic resonance imaging. Am. Res. Respir. Dis.137 (1988), 1456.
3.
BuyJ. N.ChoissainM. A.PoirsonF.: Computed tomography of mediastinal lymph nodes in non-small cell lung cancer. A new approach based on the lymphatic pathway of tumour spread. J. Comput. Assist. Tomogr.12 (1988), 545.
4.
CasamassinaF.VillariN.FargnoliR.Di LolliS.CelleriniA.RuggieroC.: Magnetic resonance imaging and high-resolution computed tomography in tumors of the lung and the mediastinum. Radiother. Oncol.11 (1988), 21.
HeelanR. T.DemasB. E.McCormackP. M.BurtM.PanicekD. M.MitznerA.: Superior sulcus tumors. CT and MR imaging. Radiology170 (1989), 637.
8.
IkezoeJ.KadowakiK.MorimotoS.: Mediastinal lymph node metastases from nonsmall cell bronchogenic carcinoma. Reevaluation with CT. J. Comput. Assist. Tomogr.14 (1990), 340.
9.
International Union Against Cancer: TNM classification of malignant tumours. Edited by HermanekP.SobinL. H.Springer-Verlag, Berlin1987.
10.
LähdeS.HyrynkangasK.MerikantoJ.PokelaR.JokinenK.KärköläP.: Computed tomography and mediastinoscopy in the assessment of resectability of lung cancer. Acta Radiol.30 (1989), 169.
11.
LähdeS.PäivänsaloM.RainioP.MerikantoJ.KärköläP.: Assessing resectability of lung cancer. The role of computed tomography of the mediastinum, upper abdomen and head. Eur. J. Radiol.10 (1990), 48.
12.
LewisJ. W.PearlbergJ. L.BenteG. H.: Can computed tomography of the chest stage lung cancer? Yes and no. Ann. Thorac. Surg.49 (1990), 591.
13.
McLoudT. C.FilionR. B.EdelmanR. R.ShepardJ.-A. O.: MR imaging of superior sulcus carcinoma. J. Comput. Assist. Tomogr.13 (1989), 233.
14.
MountainC. F.: A new international staging system for lung cancer. Chest89 (1986), 225S.
15.
MountainC. F.: Expanded possibilities for surgical treatment of lung cancer. Survival in stage Ilia disease. Chest97 (1990), 1045.
16.
PearsonF. G.: Lung cancer, the past twenty-five years. Chest89 (1986), 200S.
17.
PlattJ. F.GlazerG. M.OrringerM. B.: Radiologic evaluation of the subcarinal lymph nodes. A comparative study. AJR151 (1988), 279.
18.
QuintL. E.GlazerG. M.OrringerM. B.: Central lung masses. Prediction with CT used for pneumectomy versus lobectomy. Radiology165 (1987), 735.
19.
RattoG. B.MereuC.MottaG.: The prognostic significance of preoperative assessment of mediastinal lymph nodes in patients with lung cancer. Chest93 (1988), 807.
20.
RendinaE. A.BognoloD. A.MineoT. C.: Computed tomography for the evaluation of intrathoracic invasion by lung cancer. J. Thorac. Cardiovasc. Surg.94 (1987), 57.
21.
ScottI. R.MüllerN. L.MillerR. R.EvansK. G.NelemsB.: Resectable stage III lung cancer. CT, surgical and pathologic correlation. Radiology166 (1988), 75.
WebbW. R.: The role of magnetic resonance imaging in the assessment of patients with lung cancer. A comparison with computed tomography. J. Thorac. Imaging4 (1989), 65.
