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Cardiothoracic Surgery

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Question:

What are indications for mediastinoscopy?

Author: H K



Answer:

• Staging of lung cancer: - suspicion of N3 (contra-indication to resection), - search for N2 (induction chemotherapy before resection), - suspicion of small cell lung carcinoma(contra-indication for surgery). • Typing of tumors: - lung cancer: if bronchoscopy is non contributive, - mediastinal tumors: histological typing (lymphoma, thyroid goiter or neoplasm, etc). • Diagnosis of inflammatory diseases: sarcoidosis (biopsy of mediastinal lymph nodes)


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H K
H K