Staging Lung Cancer: Current Controversies and Strategies

A consistent approach to staging is required for the rational management of lung cancer. This paper was prepared at the request of the Standards Committee of the Canadian Thoracic Society, and reviews and discusses the relative merits of the available methods of staging. Whichever methods are chosen...

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Main Authors: Riyad Karmy-Jones, Robert H Hyland, Joseph W Lewis, Paul Kvale
Format: Article
Language:English
Published: Wiley 1997-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/1997/742865
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author Riyad Karmy-Jones
Robert H Hyland
Joseph W Lewis
Paul Kvale
author_facet Riyad Karmy-Jones
Robert H Hyland
Joseph W Lewis
Paul Kvale
author_sort Riyad Karmy-Jones
collection DOAJ
description A consistent approach to staging is required for the rational management of lung cancer. This paper was prepared at the request of the Standards Committee of the Canadian Thoracic Society, and reviews and discusses the relative merits of the available methods of staging. Whichever methods are chosen by a particular institution, the following points must be stressed. No patient can be considered automatically "unresectable" when chest radiography and/ or computed tomography demonstrate adenopathy or only suggest local invasion. Clinical and/or radiographical evidence suggesting extensive local or metastatic disease should be evaluated as completely as possible before subjecting the patient to a possible "nontherapeutic" thoracotomy. Finally, in some cases thoracotomy is required to decide whether the lesion is "completely" resectable.
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issn 1198-2241
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publishDate 1997-01-01
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series Canadian Respiratory Journal
spelling doaj-art-3f7a9ad1261c4dffa9b74bbb4ae996832025-08-20T03:35:53ZengWileyCanadian Respiratory Journal1198-22411997-01-014629730510.1155/1997/742865Staging Lung Cancer: Current Controversies and StrategiesRiyad Karmy-Jones0Robert H Hyland1Joseph W Lewis2Paul Kvale3Division of Thoracic Surgery, University of Washington, Seattle, Washington, USADepartment of Medicine, Wellesley Central Hospital, Toronto, Ontario, CanadaDivision of Thoracic Surgery, University of Washington, Seattle, Washington, USADivisions of Thoracic Surgery and Pulmonary Medicine, Henry Ford Hospital, Detroit, Michigan, USAA consistent approach to staging is required for the rational management of lung cancer. This paper was prepared at the request of the Standards Committee of the Canadian Thoracic Society, and reviews and discusses the relative merits of the available methods of staging. Whichever methods are chosen by a particular institution, the following points must be stressed. No patient can be considered automatically "unresectable" when chest radiography and/ or computed tomography demonstrate adenopathy or only suggest local invasion. Clinical and/or radiographical evidence suggesting extensive local or metastatic disease should be evaluated as completely as possible before subjecting the patient to a possible "nontherapeutic" thoracotomy. Finally, in some cases thoracotomy is required to decide whether the lesion is "completely" resectable.http://dx.doi.org/10.1155/1997/742865
spellingShingle Riyad Karmy-Jones
Robert H Hyland
Joseph W Lewis
Paul Kvale
Staging Lung Cancer: Current Controversies and Strategies
Canadian Respiratory Journal
title Staging Lung Cancer: Current Controversies and Strategies
title_full Staging Lung Cancer: Current Controversies and Strategies
title_fullStr Staging Lung Cancer: Current Controversies and Strategies
title_full_unstemmed Staging Lung Cancer: Current Controversies and Strategies
title_short Staging Lung Cancer: Current Controversies and Strategies
title_sort staging lung cancer current controversies and strategies
url http://dx.doi.org/10.1155/1997/742865
work_keys_str_mv AT riyadkarmyjones staginglungcancercurrentcontroversiesandstrategies
AT roberthhyland staginglungcancercurrentcontroversiesandstrategies
AT josephwlewis staginglungcancercurrentcontroversiesandstrategies
AT paulkvale staginglungcancercurrentcontroversiesandstrategies