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Mediastinal lymphadenopathy: assessing clinical utility of EUS-FNA.

机译:纵隔淋巴结肿大:评估EUS-FNA的临床效用。

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摘要

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.
机译:在日常临床实践中,肿瘤科医生经常面临如何处理纵隔淋巴结肿大的患者的问题。鉴于大于0.5-1 cm的淋巴结基本上不受癌症影响,因此,淋巴结的诊断准确性是一个普遍的问题,相反,较小的淋巴结可能包含微转移性疾病。在实践中,使用内窥镜超声(EUS),计算机断层扫描和正电子发射断层扫描进行术前治疗分期与适度的预测准确性相关,并且未经手术标本的组织病理学检查的术前分期是不合适的。

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