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By J. B. Sørensen, K. Østerlind (auth.), P. Van Houtte MD, J. Klastersky MD, P. Rocmans MD (eds.)

This quantity files the development that has been made within the therapy of lung melanoma, analyzing intimately the applicability and use of a number of the healing modalities. Emphasis is put on some great benefits of a multimodality method of lung melanoma, and the editors have sought to accomplish a stability among the views provided through US and eu authors. the great insurance of the topic and the services of the authors make sure that the quantity should be of widest interest.

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Extra resources for Progress and Perspective in the Treatment of Lung Cancer

Example text

Disruption of this line suggests parietal pleural invasion. Fixation of the tumour during respiration can be observed. One report found that ultrasound was superior to CT for the diagnosis of chest wall invasion, with more than 95% sensitivity and specificity (SUZUKI et al. 1993). However, these results were not confirmed by another study, which suggested that ultrasound guided biopsy was required for more reliable results (NAKANO et al. 1994). Accurate preoperative assessment of the extent of chest wall disease is helpful to the surgeon, but does not have the same critical implications for management as does the determination of inoperable T4 mediastinal invasion.

AJR 150:771-776 Kondo D, Imaizumi M, Abe T, Naruke T, Suemasu K (1990) Endoscopic ultrasound examination for mediastinal lymph node metastases of lung cancer. Chest 98:586593 Kramer EL, Noz ME, Liebes L, Murthy S, Tiu S, Goldenberg DM (1994) Radioimmunodetection of non-small cell lung cancer using technetium-99m-anticarcinoembryonic antigen IMMU-4 Fab' fragment: preliminary results. Cancer 73:890-895 Radiological Evaluation of Intrathoracic Extension and Resectability of Non-Small Cell Lung Cancer Kuriyama K, Tateishi R, Kumatani T et al (1994) Pleural invasion by peripheral bronchogenic carcinoma: assessment with three-dimensional helical CT.

There is extensive contact between the primary tumour and chest wall with no visible extrapleural fat plane. The patient initially underwent mediastinoscopy and sampling of the enlarged paratracheal node, which revealed no evidence of malignancy. At surgery the lymph node was removed and shown to be clear of metastasis. The primary tumour could be dissected off the chest wall, with histopathological extension only to the parietal pleura 28 Fig. 2. Mediastinal lymphadenopathy shown by CT. Enlarged right para tracheal lymph node in a patient with a left upper lobe squamous cell carcinoma.

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