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肺癌の胸壁・胸膜浸潤に対する超音波断層検査とCT検査の診断能


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Title: 肺癌の胸壁・胸膜浸潤に対する超音波断層検査とCT検査の診断能
Other Titles: Ultrasonography and Computed Tomography in the Evaluation of Chest Wall and the Visceral Pleura Involvement in Lung Cancer
Authors: 君野, 孝二 / 綾部, 公懿 / 川原, 克信 / 田川, 泰 / 太田, 勇司 / 母里, 正敏 / 横山, 忠弘 / 謝, 家明 / 長谷川, 宏 / 富田, 正雄
Authors (alternative): kimino, Koji / Ayabe, Hiroyoshi / Kawahara, Katsunobu / Tagawa, Yasushi / Ohta, Yuji / Mori, Masatoshi / Yokoyama, Tadahiro / Hsieh, Chia-Ming / Hasegawa, Hiroshi / Tomita, Masao
Issue Date: 28-Feb-1986
Publisher: 日本肺癌学会
Citation: 肺癌 = Japanese Journal of Lung Cancer, 26(1), p.27-35; 1986
Abstract: 胸壁に隣接し,超音波断層検査とCT検査を行ない手術が施行された肺癌34例につき,手術時及び組織学的胸壁・胸膜浸潤の程度に関して,術前の両検査の診断能につき比較・検討した.超音波断層検査,CT検査は共に胸壁浸潤に関し高い診断能を示したが,胸膜浸潤の程度の評価には超音波断層検査が胸膜を良く描出可能な点で優れており,動的観察も可能である事より,胸壁,胸膜浸潤の診断に超音波断層検査は有用な方法と考えられた. / The accuracy of ultrasonography (US) and computed tomography (CT) were compared in the evaluation of the extent to the chest wall and the pleura in 34 cases of primary lung cancer in the vicinity of the chest wall. The percent accuracy of US evaluation of parietal and visceral pleural invasion was 62% and that of CT for chest wall invasion was 74%. US and cr both displayed a tendency to overestimate extent. Inaccurate estimation by US included 13 cases, 69.2% among which had pleural indentation. Most mistakenly estimated as Surgical-P had pleural indentation as well. Overestimation by CT was recognized in 3 cases, 2 of which had atelectasis and the other pleural adhesion. The diagnosis of P-factor by US as well as the findings at surgery were difficult in cases having pleural indentation and evaluation of chest wall invasion by CT was also difficult in cases with atelectasis and pleural adhesion. The sensitivities of US and CT were both 90%. Both methods were useful in the evaluation of chest wall involvement. US was superior to CT with respect to demonstration of more detailed visceral pleural change and respiratory movement of the tumor mass and the pleura can be observed. Therefore, US and CT should be utilized to assess chest wall and pleural involvement in cases with lung cancer in the vicinity of the chest wall.
Keywords: Lung cancer / Ultrasonography / Computed tomography
URI: http://hdl.handle.net/10069/20250
ISSN: 03869628
Relational Links: http://ci.nii.ac.jp/naid/110003130517/
Rights: 日本肺癌学会 / 本文データは学協会の許諾に基づきCiNiiから複製したものである
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20250

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