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KMID : 0386119920280060881
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Journal of the Korean Radiological Society
1992 Volume.28 No. 6 p.881 ~ p.887
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Chest CT Findings after Pneumonectomy for Lung Cancer
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이아라
도영수/이병희/변홍식/김기환/진수일/조재일/심영목
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Abstract
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Evaluation of postpneumonectomy space (PPS) by CT in patients with lung cancer for operation-related complication or tumor recurrence is critical, but often difficult. We retrospectively analysed CT scans of 38 patients who underwent
pneumonectomy
for
lung cancer. CT scans were obtained on 7-10th post-operative day for baseline image and at varying intervals of 2 to 24 months thereafter. Usual postoperative findings in patients without complication included mediastinal shifting, changes in
subpleural
space, changes in parietal pleura, and herniation of contralateral lung.
Four patients had postoperative complications including empyema(n=3) and bronchopleural fistula(n=2). Twelve patients showed findings of tumor recurrence such as lymph node metastasis, local recurrence, and pericardial and contralateral pleural
effusion.
By comparing follow-up CT with baseline CT, we were able to detect early cancer recurrence and postoperative complications. Our results indicate that serial chest CT play an important role in the evaluation of the patients who underwent
pneumonectomy
for lung cancer.
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KEYWORD
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