In the authors' hospital, the ratio of primary adenocarcinoma of the lung to metastatic adenocarcinoma in thoracotomy specimens which have been removed from patients who present with a solitary lung mass and without a history of previous malignancy is 10 to 1. The routine use of a preoperative gastrointestinal series, barium enema and intravenous pyelogram in the work up of the patient with a solitary pulmonary mass is usually unproductive. This low yield should be kept in mind in the management of these patients. Contrariwise, the value of a post thoracotomy survey when the question of primary versus metastatic lesion cannot be settled by microscopic study must be appreciated.
|Original language||English (US)|
|Number of pages||6|
|Journal||Johns Hopkins Medical Journal|
|State||Published - Dec 1 1973|
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