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RESULT OF THE MEDIASTINOSCOPY IN DIAGNOSING THE THORACIC DISEASES
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Abstract
Background: Mediastinoscopy was a procedure used for the diagnosis of mediastinal diseases and the staging of lung cancer. Since mediastinoscopy was introducted by Carlens in 1959, it presently has been becoming the standard to compare with all other methods of evaluating the histology of mediastinum tumors. In Vietnam, it is rarely applied in diasnosing the thoracic diseases.
Objective: Evaluate the results of cervical mediastinoscopy in diagnosing the histological type of mediastinal mass and staging of lung cancer. *
Method: Cross sectional study, clinical intervention, without control experiment. The research was performed in Cho Ray Hospital from 5/2010 to 2/2013.
Results: During the research, we had researched a group of 24 patients that were diagnosed mediastinal tumors or mediastinal nodes in lung tumours with mean age 44 + 2 year old. Average of operating time was 47 minutes. Maglinant rate of meastinal tumours samples was high 12/12 cases (100%), a great part was the lymphoma non-Hogkins. Maglinant mediastinal nodes were found in 7/11 cases of lung cancer (equivalent N2, N3) and not in 02/11 cases of lung cancer (equivalent N0,N1). 01 case with mediastinal nodes was diagnosed Non-Hodgkin. Mediastinal benign node without lung caner accounted of 11/12 (91,6%). No case had incident on and post-operation.
Conclusions: Mediastinoscopy is a highly effective and safe procedure. We propose use the mediastinoscopy routine in staging of lung cancer.
Article Details
Keywords
mediastinoscopy, lung cancer, lympho node, mediastinal tumor.
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