Author/Editor		Juvan-Žavbi, Mojca
Title		Slikovne in diagnostične metode za zamejitev bolezni v trebuhu pri bolnikih s pljučnim rakom
Translated title		Diagnostic imaging methods in the staging of patients with lung cancer for evaluation dissemination of disease in the abdomen
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 76, št. 6
Publication year		2007
Volume		str. 415-21
Language		slo
Abstract		Most patients with lung cancer have advanced disease at presentation. An accurate assessment of the extent of disease is critical to determine whether the patient is treated with surgical resection, radiation therapy, chemotherapy, or a combination of these modalities. Evaluation of extra thoracic extension should be performed routinely in all patients with newly diagnosed lung cancer to prevent many unnecessary thoracotomies. CT of the upper abdomen is the standard imaging modality used for the radiological staging of the disease in the abdomen. Ultrasonography (US) of the abdomen is also widely used. Both methods proved to be complementary. From our experiences the contribution of both methods in the evaluation and treatment of lung cancer patients has proved to be comparable. Even though the primary impact of positron emission tomography (PET) is in the extra thoracic staging and the method has been approved for staging of patients with lung cancer in the United States, there is still confusion about the appropriate place of PET imaging among the array of available staging tests. Magnetic resonance imaging (MRI) should be reserved for special situations.
Summary		Večina bolnikov s pljučnim rakom ima razširjeno bolezen že ob postavitvi diagnoze. Natančna ocenitev razširjenosti bolezni je nujna za odločitev o tem, ali bo bolnik zdravljen s kirurško resekcijo, radioterapijo, kemoterapijo ali kombinacijo naštetih metod. Ocena raz širjenosti bolezni zunaj prsnega koša, ki naj se rutinsko izvaja pri vseh bolnikih z na novo odkritim pljučnim rakom, je še zlasti pomembna zato, da se izognemo nepotrebni torakotomiji. Računalniška tomografija (CT) zgornjega dela trebuha je standardna slikovna diagnostična metoda za zamejitev bolezni v trebuhu. V ta namen se pogosto uporablja tudi ul trazvočno preiskavo (UZ) trebuha. Po naših izkušnjah sta metodi medsebojno primerljivi in se tudi dopolnjujeta. Čeprav ima pozitronska emisijska tomografija (PET) primarno vlogo pri zamejitvi bolezni zunaj prsnega koša in se priporoča v ZDA, njeno pravo mesto med vrsto razpoložljivih metod še ni jasno. V Sloveniji s to metodo še nimamo izkušenj. Magnetnoresonančno slikanje (MRI) se uporablja le v posebnih primerih.
Descriptors		LUNG NEOPLASMS NEOPLASM METASTASIS ABDOMINAL NEOPLASMS TOMOGRAPHY, X-RAY COMPUTED MAGNETIC RESONANCE IMAGING