Invasive diagnostic techniques such as transesophageal echocardiography (T.E.E.) have been recently introduced for pre-surgical staging in lung cancer infiltrating adjacent related organs, (pericardium, aorta, superior vena cava, main pulmonary vessels, left atrium). To assess the sensitivity of this technique, 15 patients (11 male, age 60.19 ± 8.3) (4 female, age 55.5 =1= 7.3) affected by lung cancer (NSCLC) underwent to presurgical T.E.E. multiplane. T.E.E. data were compared with computed tomography and if performed with surgical findings. In 8 cases, T.E.E. confirmed the findings of CT scan, resulting in 6 patients negative for suspi- cius of invasion of the mediastinal structures, and 2 patients positive for infiltration of the great pulmonary vessels. T.E.E. data have been confirmed by operative and pathological examination findings in all 7 patients underwent to surgical resection, as well as one of the two cases with infiltration of the mediastinal, underwent to surgical resection. Discrepancy between T.E.E. and CT scan immaging have been found in 8 cases. Indeed, in 4 patients. T.E.E. showed invasion of the pulmonary vessels, despite negative CT scan, in contrast, in 4 cases T.E.E did not confirmed the relative invasion of the mediastinal structures showed by CT scan. Operative and pathological examination findings, performed in 5 patients underwent to sur¬gical resection confirmed the T.E.E. data. Therefore, transesophageal sonography has opened a new window for viewing invasion of cardiac structure and great mediastinal vessels. We concluded that T.E.E. provides an excellent support for criteria of lung cancer resectability, especially in case of CT scan indicating a mediastinal tumour infiltration.
TRANSESOPHAGEAL ULTRASOUND PROVIDES A NEW MINIMAL INVASIVE APPROACH FOR SURGICAL LUNG CANCER STAGING
MAZZARELLA, Gennaro
1999
Abstract
Invasive diagnostic techniques such as transesophageal echocardiography (T.E.E.) have been recently introduced for pre-surgical staging in lung cancer infiltrating adjacent related organs, (pericardium, aorta, superior vena cava, main pulmonary vessels, left atrium). To assess the sensitivity of this technique, 15 patients (11 male, age 60.19 ± 8.3) (4 female, age 55.5 =1= 7.3) affected by lung cancer (NSCLC) underwent to presurgical T.E.E. multiplane. T.E.E. data were compared with computed tomography and if performed with surgical findings. In 8 cases, T.E.E. confirmed the findings of CT scan, resulting in 6 patients negative for suspi- cius of invasion of the mediastinal structures, and 2 patients positive for infiltration of the great pulmonary vessels. T.E.E. data have been confirmed by operative and pathological examination findings in all 7 patients underwent to surgical resection, as well as one of the two cases with infiltration of the mediastinal, underwent to surgical resection. Discrepancy between T.E.E. and CT scan immaging have been found in 8 cases. Indeed, in 4 patients. T.E.E. showed invasion of the pulmonary vessels, despite negative CT scan, in contrast, in 4 cases T.E.E did not confirmed the relative invasion of the mediastinal structures showed by CT scan. Operative and pathological examination findings, performed in 5 patients underwent to sur¬gical resection confirmed the T.E.E. data. Therefore, transesophageal sonography has opened a new window for viewing invasion of cardiac structure and great mediastinal vessels. We concluded that T.E.E. provides an excellent support for criteria of lung cancer resectability, especially in case of CT scan indicating a mediastinal tumour infiltration.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.