Abstract
Medical records and radiologic studies of 238 patients with non-small cell lung cancer who had preoperative evaluation by chest radiography and CT were reviewed. Thirty-six patients were staged as T1N0M0 by chest radiograph. Of this group, 18 (50%) had abnormalities on CT requiring additional evaluation. Confirmation of abnormalities was by tissue sampling or clinical follow-up. Evidence for unresectable spread of disease was obtained in 12 (33%). We conclude that routine preoperative staging of T1N0M0 lung cancer with CT has a positive impact on patient management.
MeSH terms
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Adenocarcinoma / diagnostic imaging
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Adenocarcinoma / pathology
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Adenocarcinoma, Bronchiolo-Alveolar / diagnostic imaging
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Adenocarcinoma, Bronchiolo-Alveolar / pathology
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Adrenal Gland Neoplasms / secondary
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Adult
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Aged
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Aged, 80 and over
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Biopsy
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Carcinoma, Non-Small-Cell Lung / diagnostic imaging*
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Carcinoma, Non-Small-Cell Lung / pathology
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Carcinoma, Squamous Cell / diagnostic imaging
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Carcinoma, Squamous Cell / pathology
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Female
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Humans
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Liver Neoplasms / secondary
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Lung Neoplasms / diagnostic imaging*
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Lung Neoplasms / pathology
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Lymphatic Metastasis
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Male
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Middle Aged
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Neoplasm Staging
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Preoperative Care
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Tomography, X-Ray Computed*