Diagnostik des Bronchialkarzinoms

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• 作者：Dr. M. Kreuter (1)
  F.J.F. Herth (1)
  R. Eberhardt (1)
  
• 关键词：Bronchialkarzinom ; Diagnostik ; Bronchoskopie ; PET ; TNM ; Stadien ; Lung cancer ; Staging ; Bronchoscopy ; PET ; TNM classification
• 刊名：Der Pneumologe
• 出版年：2008
• 出版时间：May 2008
• 年：2008
• 卷：5
• 期：3
• 页码：187-198
• 全文大小：1069KB
• 参考文献：1. Bandi V, Lunn W, Ernst A et al. (2008) Ultrasound vs. computed tomography in detecting chest wall invasion by tumor: a prospective study. Chest (in press)
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• 作者单位：Dr. M. Kreuter (1)
  F.J.F. Herth (1)
  R. Eberhardt (1)
  
  1. Pneumologie und Beatmungsmedizin, Thoraxklinik am Universit盲tsklinikum Heidelberg, Amalienstra脽e 5, 69126, Heidelberg, Deutschland
  

文摘

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.