Repeat mediastinoscopy in the staging of XXXX .

@entity1 @entity82 @entity4153 @entity5 @entity2 @entity153
OBJECTIVE: Despite technical difficulties due to mediastinal @entity82 , repeat mediastinoscopy can be a valuable tool in the restaging of @entity2 . It provides essential pathological information on mediastinal invasion when selecting @entity1 for surgical resection after induction chemotherapy in stage IIIa disease. The aim of our study was to evaluate the feasibility, sensitivity and accuracy of repeat mediastinoscopy. METHODS: From 1994 to 1997 we performed a repeat mediastinoscopy in 15 @entity1 (13 @entity1 , two @entity1 ) with @entity153 . Their age ranged from 49 to 75 years. (mean 64.7). Seven @entity1 had induction chemotherapy for a @entity4153 with positive N2 nodes on mediastinoscopy. Four @entity1 had a second primary @entity2 , one had a locoregional recurrence of @entity153 . The other three had a first mediastinoscopy for other @entity2 , repeat mediastinoscopy being performed for staging of @entity5 . RESULTS: In all 15 @entity1 it was possible to perform a complete repeat mediastinoscopy. In one @entity1 repeat mediastinoscopy turned out to be false negative, so, in our series, sensitivity was 87.5%, specificity 100% and accuracy 93.7%. CONCLUSION: Previous mediastinoscopy is no contraindication for a repeat one. Repeat mediastinoscopy offers valuable pathological information in restaging of @entity2 .
