Published in:
01-08-2011 | Letter
Mediastinal lymphadenopathy: assessing clinical utility of EUS-FNA
Author:
Charalambos Batsis
Published in:
Surgical Endoscopy
|
Issue 8/2011
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Excerpt
In day-to-day clinical practice, oncologists often face the problem of how to manage patients whose mediastinal lymph nodes have increased in size. The diagnostic accuracy of lymph nodes is a general problem given that lymph nodes larger than 0.5–1 cm are not essentially affected by cancer and, in contrast, smaller lymph nodes may contain micrometastatic disease. In practice, preoperative treatment staging with endoscopic ultrasound (EUS), computed tomography, and positron emission tomography is associated with modest predictive accuracy, and pretreatment staging without histopathological examination of surgical specimen is inappropriate. …