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CPT Gregory L. Becker, MC; MAJ Warren L. Whitlock, MC; MAJ Paul S. Schaefer, MC; COL Michael F. Tenholder, MC

Arch Intern Med. 1990;150(3):557-559.

Abstract
• We assessed the impact of thoracic computed tomography (CT) in 38 patients considered for thoracotomy for solitary pulmonary lesions characterized as T1, NO, MO by clinical and roentgenographic staging. False-positive lymph nodes were identified by CT in four patients prompting additional surgical staging procedures in two cases. Two of three patients with false-negative clinical, roentgenographic, and CT findings had successful complete resections. The CT scan did not correctly advance the stage of, or alter the plan for, these lesions in any patient. We conclude that CT is not helpful in patients considered for diagnostic and therapeutic thoracotomy for clinical and roentgenographic T1, NO, MO lesions.

(Arch Intern Med. 1990;150:557-559)

Author Affiliations
USA; USA; USA; USA

From the Pulmonary Disease Service (Drs Becker, Whitlock, and Tenholder) and Department of Radiology (Dr Schaefer), Walter Reed Army Medical Center, Washington, DC.

Footnotes
Accepted for publication December 7,1989.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as a reflection of the views of the Department of the Army or the Department of Defense.

Reprint requests to the Pulmonary Disease Service, Walter Reed Army Medical Center, Washington, DC 20307-5001 (Dr Becker).

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