Die Mediastinoskopieの紹介
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概要
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Mediastinoscopy is a method by which observation, palpation and biopsy of the upper anterior mediastinum can be done through a metal mediastinoscop. This mediastinoscop is inserted in the wound tube made in the upper anterior mediastinum, along the median line and from a small skin incision made in the jugular fossa.This method was first introduced in 1959 by Carlens as a method of examining the upper anterior mediastinum of lung cancer patients for the presence of metastasis in lymph nodes and the condition of infiltration of tumor, but at present it is also applied to other pulmonary and mediastinal diseases besides lung cancer.This article has been written for the purpose of introducing mediastinoskopy to otorhinolaryngologists.The author have applied this method to 34 cases of various chest diseases since the end of 1962, and have found as result that it is significant as an auxiliary method of diagnosis or differential diagnosis of pulmonary and mediastinal diseases.
- 耳鼻咽喉科臨床学会の論文