Diagnostic evaluation of lung cancer

被引：2

作者：

Kreuter, M. ^{[1
]}

Herth, F. J. F. ^{[1
]}

Eberhardt, R. ^{[1
]}

机构：

[1] Univ Klinikum Heidelberg, Thoraxklin, Amalienstr 5, D-69126 Heidelberg, Germany

来源：

PNEUMOLOGE | 2008年 / 5卷 / 03期

关键词：

Lung cancer; Staging; Bronchos copy; PET; TNM classification;

D O I：

10.1007/s10405-008-0231-y

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Lung cancer is the fourth most common cause of death in Germany. Symptoms are mainly nonspecific and often develop at a late stage. The diagnostic procedure begins with clinical history and examination. X-ray of the thorax is the basis of imaging and is supplemented by a computed tomography (CT) scan of the thorax. A biopsy for histological or cytological evaluation should be performed by the least invasive method, usually bronchoscopy. Supplemented by modern techniques such as narrow -band imaging, endobronchial ultrasound and electromagnetic navigation, bronchoscopy plays an important role in the diagnostic procedure. Positron emission tomography (PET) provides reliable evidence of lung cancer. It can be used for further evaluation of mediastinal lymphadenopathy and also supplements extrathoracical staging. This should cover the most prevalent organs of metastasis, namely the adrenal glands, liver, central nervous system and bones.

引用

页码：187 / 196

页数：10