Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Azygograms and Pulmonary Arteriograms in Bronchogenic Carcinoma

Azygograms and Pulmonary Arteriograms in Bronchogenic Carcinoma Abstract Since patients suffering from bronchogenic carcinoma are often elderly and debilitated, diagnostic thoracotomy for unresectable lung cancer is accompanied by an operative mortality up to 15%.1 Thus, it is clearly important to minimize the number of "open and close" operations, even if one disregards the emotional and financial trauma resulting from an unrewarding thoracotomy. Towards the goal of improving the selection of lung cancer patients to whom thoracotomy is recommended, preoperative angiography has been utilized. Our purpose has been to determine whether or not this is a fruitful and warranted approach, and we have therefore adhered to standard operative indications and contraindications, seeking not to allow angiographic findings influence our decision as to whether or not to operate. Lung cancers become unresectable when they involve essential major vessels or the heart, or when the mediastinum is massively invaded by tumor. Although others have utilized angiography to evaluate the extent References 1. Sensenig, D.M.; Rossi, N.P.; and Ehrenhaft, J.L.: Results of the Surgical Treatment of Bronchogenic Carcinoma , Surg Gynec Obstet 116:279-284 ( (March) ) 1963. 2. Gray, F.W.; Schorr, R.T.; and Heilbronn, H.: Intraosseous Azygography , J Thorac Cardiovasc Surg 55:389-395 ( (March) ) 1968. 3. Rinker, C.T.; Templeton, A.W.; and MacKenzie, J.: Combined Superior Vena Cavography and Azygography in Patients With Suspected Lung Carcinoma , Radiology 88:441-445 ( (March) ) 1967.Crossref 4. Viamonte, M., Jr.: Angiographic Evaluation of Lung Neoplasms , Radiol Clin N Amer 3:529-542 ( (Dec) ) 1965. 5. Brunette, K.W., et al: Angiography: A Guide in the Management of Intrathoracic Neoplasms , Amer Rev Resp Dis 94:933-937 ( (Dec) ) 1966. 6. Salsali, M., and Clifton, E.E.: Superior Vena Caval Obstruction in the Lung Cancer , Ann Thorac Surg 6:437-442 ( (Nov) ) 1968.Crossref 7. Benfield, J.R., et al: Bilateral Nodular Pulmonary Granulomas and Retroperitoneal Fibrosis , JAMA 182:579-581 ( (Nov 3) ) 1962.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Azygograms and Pulmonary Arteriograms in Bronchogenic Carcinoma

Loading next page...
 
/lp/american-medical-association/azygograms-and-pulmonary-arteriograms-in-bronchogenic-carcinoma-x5MCsShxih
Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340150114025
Publisher site
See Article on Publisher Site

Abstract

Abstract Since patients suffering from bronchogenic carcinoma are often elderly and debilitated, diagnostic thoracotomy for unresectable lung cancer is accompanied by an operative mortality up to 15%.1 Thus, it is clearly important to minimize the number of "open and close" operations, even if one disregards the emotional and financial trauma resulting from an unrewarding thoracotomy. Towards the goal of improving the selection of lung cancer patients to whom thoracotomy is recommended, preoperative angiography has been utilized. Our purpose has been to determine whether or not this is a fruitful and warranted approach, and we have therefore adhered to standard operative indications and contraindications, seeking not to allow angiographic findings influence our decision as to whether or not to operate. Lung cancers become unresectable when they involve essential major vessels or the heart, or when the mediastinum is massively invaded by tumor. Although others have utilized angiography to evaluate the extent References 1. Sensenig, D.M.; Rossi, N.P.; and Ehrenhaft, J.L.: Results of the Surgical Treatment of Bronchogenic Carcinoma , Surg Gynec Obstet 116:279-284 ( (March) ) 1963. 2. Gray, F.W.; Schorr, R.T.; and Heilbronn, H.: Intraosseous Azygography , J Thorac Cardiovasc Surg 55:389-395 ( (March) ) 1968. 3. Rinker, C.T.; Templeton, A.W.; and MacKenzie, J.: Combined Superior Vena Cavography and Azygography in Patients With Suspected Lung Carcinoma , Radiology 88:441-445 ( (March) ) 1967.Crossref 4. Viamonte, M., Jr.: Angiographic Evaluation of Lung Neoplasms , Radiol Clin N Amer 3:529-542 ( (Dec) ) 1965. 5. Brunette, K.W., et al: Angiography: A Guide in the Management of Intrathoracic Neoplasms , Amer Rev Resp Dis 94:933-937 ( (Dec) ) 1966. 6. Salsali, M., and Clifton, E.E.: Superior Vena Caval Obstruction in the Lung Cancer , Ann Thorac Surg 6:437-442 ( (Nov) ) 1968.Crossref 7. Benfield, J.R., et al: Bilateral Nodular Pulmonary Granulomas and Retroperitoneal Fibrosis , JAMA 182:579-581 ( (Nov 3) ) 1962.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1969

References