Invasives Staging des Mediastinums beim Lungenkarzinom aus Sicht der Thoraxchirurgie

The staging of a potentially operable patient with lung cancer includes ultrasound, computed tomography, positron emission tomography and magnetic resonance imaging. In addition to diagnostic imaging, the most accurate, pre-therapeutic histological definition of mediastinal lymph node status is a ke...

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Bibliographic Details
Published inAtemwegs- und Lungenkrankheiten Vol. 45; no. 4; pp. 183 - 193
Main Authors Hecker, E., Herrmann, D.
Format Journal Article
LanguageEnglish
German
Published Munich Dustri - Verlag Dr. Karl Feistle GmbH & Co. KG 01.04.2019
Subjects
Clinical medicine
Lung cancer
Lymphatic system
Systematic review
Tomography
Ultrasonic imaging
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Summary:The staging of a potentially operable patient with lung cancer includes ultrasound, computed tomography, positron emission tomography and magnetic resonance imaging. In addition to diagnostic imaging, the most accurate, pre-therapeutic histological definition of mediastinal lymph node status is a key position for an oncologically correct surgical indication. Following pathological mediastinal imagings the first examination of mediastinal lymphnodes is always non-invasive, bronchoscopic ultrasound-guided needle aspiration (EBUS-TBNA) of mediastinal lymph nodes. Positive EBUS findings may be used to establish the indication; negative EBUS findings must be further clarified by invasive surgical procedures like video mediastinoscopy or video thoracoscopy. If the surgical indication requires the preoperative exclusion of mediastinal lymphnode metastases, invasive surgical procedures are the gold standard of mediastinal staging.
ISSN:0341-3055
DOI:10.5414/ATX02352