Annual abdominal ultrasonographic examination after curative NSCLC resection.

Annual abdominal ultrasonographic examination after curative NSCLC resection. Research Abstract Details 

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Annual abdominal ultrasonographic examination after curative NSCLC resection. Abstract Text:

Keiju Aokage,Junji Yoshida,Mitsuyo Nishimura,Yutaka Nishiwaki,Kanji Nagai,Keiju Aokage,Junji Yoshida,Mitsuyo Nishimura,Yutaka Nishiwaki,Kanji Nagai,

BACKGROUND: There is no established follow-up strategy in non-small cell lung cancer patients after complete resection. Follow-up regimens are different between nations, institutions, and surgeons. We tried to investigate the role of annual abdominal ultrasonographic examination in completely resected NSCLC patients. METHODS: We reviewed 265 consecutive patients who had their NSCLC completely resected at our institution from July 1992 through December 2000 and were followed by a single surgeon. Annual abdominal ultrasonography was performed until 5 years after resection. Chest CT and abdominal CT are not included in our routine follow-up program. Instead, we used ultrasonography to survey the abdomen because abdominal ultrasonography is less costly than abdominal CT, is non-invasive, and does not require contrast media. RESULTS: A total of 892 ultrasonographic examinations were performed. Fifty-nine (22.3%) patients developed recurrence. Annual ultrasonography detected lesions suspicious of recurrence in 15 patients. Further work-up diagnosed NSCLC recurrence in 2 (0.8%) patients (multiple liver metastases in one and right adrenal metastasis in one). The two patients soon developed disseminated disease and died in less than a year. CONCLUSIONS: Annual abdominal ultrasonography in the follow-up protocol for completely resected NSCLC patients was not beneficial. Our experience in the present study may be used as valid evidence to exclude abdominal ultrasonography from future trials comparing follow-up regimens after complete resection of NSCLC. A better follow-up strategy needs to be established.

Annual abdominal ultrasonographic examination after curative NSCLC resection. Publishing Authors By Initials

K Aokage,J Yoshida,M Nishimura,Y Nishiwaki,K Nagai,K Aokage,J Yoshida,M Nishimura,Y Nishiwaki,K Nagai,

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Annual abdominal ultrasonographic examination after curative NSCLC resection. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Lung cancer (Amsterdam, Netherlands)

VOLUME: 57

Page Numbers: 334-8

Journal Abbreviation: Lung Cancer

ISSN: 0169-5002

DAY: 11

MONTH: 05

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: Department of Thoracic Oncology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.

Country: Ireland

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MEDLINETA: Lung Cancer

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