OUTCOME OF THE DIAGNOSTIC MEDIASTINOSCOPY OF BEGIN TUMOR, MEDIASTINAL MALIGNANT DESEASES AND STAGING OF LUNG CANCER ABSTRACT
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Abstract
Background: Mediastinoscopy is a procedure used for the diagnosis of mediastinal disease and the staging of lung cancer. It was introduced by Carlens Since in 1959. Presently, mediastinoscopy has become invasive diagnostic methods very useful. In Vietnam, there is not any research assessment of result of mediastinoscopy in the diagnosis.
Objective: It was the aim of this study to evaluate the results of cervical mediastinoscopy in diagnosing the histological type of mediastinal tumors and staging of lung cancer.
Method: Cross sectional study. 34 patients were confirmed mediastinal tumors or nodes on CT scanner and given a histological diagnose by mediastinoscopy that were performed in 108 Military Centre Hospital in two years (2010-2011)
Results: Group of 34 patients, age from 18 to 77, has average age 51,26. Average of operating time is 32,6 minus. Accident and complication of mediastinoscopy is 01 case that was blooding, no mortality. Maglinant rate of total samples is 10/34 (29,41%), sensitivity of 90% and specificity of 100%. Maglinant mediastinal node are in 7/13 cases of lung cancer (equal N2,N3) and not in 06/13 cases of lung cancer (equal No,N1), more 01 case diagnosed NonHodgkin. Mediastinal benign node without lung caner accounted of 11/12 (91,6%).
Conclusions: Mediastinoscopy is a highly effective and safe procedure. We believe that mediastinoscopy should currently be used routinely in diagnosing the mediastinal tumors and staging of lung cancer.
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References
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