Diagnostic and staging evaluation of lung cancer

• Staging of lung cancer
  5-y survival of lung cancer

• Imaging: CT w/ contrast of chest & abd/pelvis to assess for mets (adrenal, liver, bones).

• PET-CT more Se than CT alone for detecting mediastinal and distant mets as well as

• bone mets (NEJM 2009;361:32).

• Brain MRI for all Pts except stage IA.

• Pathology: via bronchoscopy (central lesions) or CT-guided needle bx (peripheral lesions or accessible sites of suspected metastasis);

• mediastinoscopy (LN bx / eval), VATS (eval. of pleural peripheral lesions), thoracentesis if pleural effusion (cytology).

• Genetics of Diagnostic and staging evaluation of lung cancer

• PFTs w/ quant V/Q if Rx includes resection; need 30% nl predicted lung fxn after resection

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• to avoid morbidity.

Diagnostic and staging evaluation of lung cancer

• Staging of lung cancer: Imaging: CT w/ contrast of chest & abd/pelvis to assess for mets (adrenal, liver, bones). PET-CT more Se than CT alone for detecting mediastinal and distant mets as well as bone mets (NEJM 2009;361:32). Brain MRI for all Pts except stage IA. Pathology: via bronchoscopy (central lesions) or CT-guided needle bx (peripheral lesions or accessible sites of suspected metastasis); mediastinoscopy (LN bx / eval), VATS (eval. of pleural peripheral lesions), thoracentesis if pleural effusion (cytology).

• Genetics of Diagnostic and staging evaluation of lung cancer: PFTs w/ quant V/Q if Rx includes resection; need 30% nl predicted lung fxn after resection to avoid morbidity.

窩的英文不太好

• 避免發病。

肺癌的診斷和分期評估

• 肺癌分期：影像學：胸部和腹部/骨盆對比 CT 以評估代謝物（腎上腺、肝臟、骨骼）。 PET-CT 在檢測縱隔和遠處轉移以及骨轉移方面比單獨使用 CT 更有效 (NEJM 2009;361:32)。除 IA 期以外的所有 Pts 的腦部 MRI。病理：經支氣管鏡檢查（中心性病變）或CT引導下針吸（周圍性病變或疑似轉移的可及部位）；縱隔鏡檢查（LN bx / eval），VATS（胸膜周圍病變的評估），胸腔積液時的胸腔穿刺術（細胞學）。

• 肺癌診斷和分期評估的遺傳學：如果 Rx 包括切除，則 PFTs w/ quant V/Q；切除後需要 30% nl 預測肺 fxn 以避免發病。