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《CHINESE JOURNAL OF LUNG CANCER》 1998-02
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Clinical study of stage Ⅲ a lung cancer resectability evaluated by chest CT manifestation

Yan Yu, Li Ming, Shi Zhongqi. Division of Cardiothoracic Surgery, Nantong Medical College Hospital, Nantong 226001, P.R.China  
Objective To evaluate the relationship between resectability of the cancer and its chest CT manifastation in stage Ⅲ a lung cancer.Methods Seventy stage Ⅲ a lung cancer patients were divided into 3 groups respectively by CT TNM stage as well as different surgical types. The diameter of tumor, the proximity to mediastinum and/or the hilum and the invasion of their lymph nodes on each group were measured.Results The diameter of tumor at T 2N 1, T 2N 2 and T 3N 2 by CT TNM classfication was 4.07±0.92, 6.33±3.69, 4.94±1.83cm (±s) respectively (P0.05). The proximity to mediastinum and/or the hilum and the invasion of their lymph nodes was 4.23±2.96, 2.76±1.28, 4.18±2.07cm (P0.05) . On the contrary, the diameter of the tumor at the radical resection group, palliative resection group and exploratory thoractomy group by surgical type classfication was 4.55±1.96, 4.18 ±1.60, 5.62±3.23cm (P0.05), and the proximity to mediastinum and/or the hilum and the invasion of their lymph nodes was 3.14±1.89, 4.35±1.41, 5.03±3.05 (P0.05).Conclusion The extent of the proximity to mediastinum and/or the hilum and invasion of their lymph nodes is one of the main factors which affect the resectablility in stage Ⅲ a lung cancer.
【CateGory Index】: R734.2
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