| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 1998;13:196-199
© 1998 Elsevier Science NL
Clinique Chirurgicale, Hopital Albert Calmette, CHRU de Lille, rue du Pr Leclerc, F-59037 Lille, France
Received 4 August 1997; received in revised form 24 November 1997; accepted 16 December 1997.
Corresponding author. Tel.: +33 3 20444559; fax: +33 3 20444890.
Objective: The reported experience of axial mediastinoscopy (MDS) performed in a diagnostic purpose only (rather than prognostic) is limited. Therefore, we designated the present study to clarify morbidity, sensitivity and accuracy of MDS performed to diagnose various mediastinal lesions. Methods: We prospectively performed 400 MDS in a diagnostic purpose on 398 patients for: (1) isolated mediastinal adenopathies in 271 patients (group 1), and (2) mediastinal adenopathies associated with a pulmonary or a hilar lesion of unknown aetiology in 127 patients (group 2). In group 1, most of the patients were suspected to have a sarcoidosis, a tuberculosis or a lymphoma. In group 2, most of the patients were suspected to have a lung cancer. In both groups, the other current diagnostic procedure usually used in each pathology had failed to give an accurate diagnosis. Results: A total of 76% of the samples were performed in the right laterotracheal lymph node station, 12.5% in the lower subcarinal and superior subcarinal lymph node station and 7.8% in the left laterotracheal lymph node station. The per- and post-operative mortality rates were nil. The per-operative morbidity accounted for six cases (1.5% of the examinations). The post-operative morbidity accounted for three cases (0.75% of the examinations). MDS data radically modified the pre-operative suspected diagnosis in 74 patients (18.5% of the patients). There were 17 false negative results (4.3% of the patients). The global sensitivity of MDS was 94%, the global specificity was 100% and the accuracy was 95%. In group 1, the sensitivity was 96% and in group 2 it was 92%. Conclusion: According to the results, the few contraindications of the procedure and its low cost, we confirm that MDS is still the first choice procedure to diagnose lesions located in the axial mediastinum.
Key Words: Mediastinoscopy • Lung cancer • Sarcoidosis • Hodgkin’s lymphoma • Non-Hodgkin’s lymphoma
This article has been cited by other articles:
|
|
 |
|
  I. Bar, M. Papiashvilli, G. Fink, J. Sandbank, and D. Stav Cervical Mediastinoscopic Lymphadenectomy for Accurate Staging in Lung Cancer Asian Cardiovasc Thorac Ann, August 1, 2009; 17(4): 357 - 361. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Tremblay, D. R. Stather, P. MacEachern, M. Khalil, and S. K. Field A Randomized Controlled Trial of Standard vs Endobronchial Ultrasonography-Guided Transbronchial Needle Aspiration in Patients With Suspected Sarcoidosis Chest, August 1, 2009; 136(2): 340 - 346. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. J.F. Herth, R. K. Morgan, R. Eberhardt, and A. Ernst Endobronchial Ultrasound-Guided Miniforceps Biopsy in the Biopsy of Subcarinal Masses in Patients with Low Likelihood of Non-Small Cell Lung Cancer Ann. Thorac. Surg., June 1, 2008; 85(6): 1874 - 1878. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M P Kennedy, C A Jimenez, J F Bruzzi, A D Mhatre, X Lei, F J Giles, T Fanning, R C Morice, and G A Eapen Endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of lymphoma Thorax, April 1, 2008; 63(4): 360 - 365. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Garwood, M. A. Judson, G. Silvestri, R. Hoda, M. Fraig, and P. Doelken Endobronchial Ultrasound for the Diagnosis of Pulmonary Sarcoidosis Chest, October 1, 2007; 132(4): 1298 - 1304. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. H.M. Piet, F. J. Lagerwaard, P. W.A. Kunst, J. R. van Sornsen de Koste, B. J. Slotman, and S. Senan Can Mediastinal Nodal Mobility Explain the Low Yield Rates for Transbronchial Needle Aspiration Without Real-Time Imaging? Chest, June 1, 2007; 131(6): 1783 - 1787. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Girvin and I. Vlahos A 30-year-old man with a history of polysubstance abuse and hepatitis C presents with exertional dyspnea and patchy ground-glass opacities. Chest, November 1, 2006; 130(5): 1608 - 1611. [Full Text] [PDF]
|
|
|
|
 |
|
 G. Rocco, A. Brunelli, R. Jutley, M. Salati, F. Scognamiglio, C. La Manna, A. La Rocca, and N. Martucci Uniportal VATS for mediastinal nodal diagnosis and staging Interactive CardioVascular and Thoracic Surgery, August 1, 2006; 5(4): 430 - 432. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. F. Esnaola, S. N. Lazarides, S. J. Mentzer, and K. M. Kuntz Outcomes and Cost-Effectiveness of Alternative Staging Strategies for Non-Small-Cell Lung Cancer J. Clin. Oncol., January 1, 2002; 20(1): 263 - 273. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Porte, D. Metois, L. Finzi, G. Lebuffe, A. Guidat, M. Conti, and A. Wurtz Superior vena cava syndrome of malignant origin. Which surgical procedure for which diagnosis? Eur. J. Cardiothorac. Surg., April 1, 2000; 17(4): 384 - 388. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. P. Baughman and M. C. Iannuzzi Diagnosis of Sarcoidosis : When Is a Peek Good Enough? Chest, April 1, 2000; 117(4): 931 - 932. [Full Text] [PDF]
|
|
|
|
 |
|
 Z. T. Hammoud, R. C. Anderson, B. F. Meyers, T. J. Guthrie, C. L. Roper, J. D. Cooper, and G. A. Patterson THE CURRENT ROLE OF MEDIASTINOSCOPY IN THE EVALUATION OF THORACIC DISEASE J. Thorac. Cardiovasc. Surg., November 1, 1999; 118(5): 894 - 899. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
