000165835 001__ 165835
000165835 005__ 20260115140311.0
000165835 0247_ $$2doi$$a10.1016/j.athoracsur.2015.06.022
000165835 0248_ $$2sideral$$a93635
000165835 037__ $$aART-2016-93635
000165835 041__ $$aeng
000165835 100__ $$aMarron, M.Carmen
000165835 245__ $$aAgreement between computed tomography and pathologic nodule counts in colorectal lung metastases
000165835 260__ $$c2016
000165835 5203_ $$aBackground Computed tomography is the most common technique used to estimate the number of pulmonary metastases and their resectability. A lack of agreement between radiologic and surgical pathologic findings could potentially lead to incomplete resection or to rejection of patients for potentially curative treatments. The objective of this study was to estimate the disagreement between the number of radiologic lesions and the number of histologically confirmed malignant lesions excised from patients with pulmonary metastases from colorectal cancer. Methods This was a multicenter longitudinal study using a national registry. All patients underwent open surgery for pulmonary metastasectomy. Results Radiologic unilateral involvement was documented in 345 of 404 patients (85%); 253 (73%) presented with single nodules. The radiologic and malignant pathologic findings were concordant in 316 (78%) patients. The two independent predictors of discordance between computed tomography and the number of pathologic metastases were the bilateral involvement and the number of radiologic nodules. This model explained 28% of the variability in the disagreement frequency and discriminated between agreement and disagreement in 85% of the patients. Discrepancies increased with the nodule count with an odds ratio of 6.17 (95% confidence interval, 4.08 to 9.33) per additional nodule. For similar nodule counts, a lower disagreement frequency was observed among bilateral cases (odds ratio, 0.2; 95% confidence interval, 0.07 to 0.55). Conclusions Differences between the radiologic and pathologic findings were documented in 1 of every 5 patients. The correlation was very accurate in patients with single radiologic nodules. However, half of the patients with more nodules showed discrepancies.
000165835 540__ $$9info:eu-repo/semantics/closedAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000165835 590__ $$a3.7$$b2016
000165835 591__ $$aSURGERY$$b27 / 195 = 0.138$$c2016$$dQ1$$eT1
000165835 591__ $$aCARDIAC & CARDIOVASCULAR SYSTEMS$$b41 / 126 = 0.325$$c2016$$dQ2$$eT1
000165835 591__ $$aRESPIRATORY SYSTEM$$b17 / 59 = 0.288$$c2016$$dQ2$$eT1
000165835 592__ $$a1.41$$b2016
000165835 593__ $$aCardiology and Cardiovascular Medicine$$c2016$$dQ1
000165835 593__ $$aSurgery$$c2016$$dQ1
000165835 593__ $$aPulmonary and Respiratory Medicine$$c2016$$dQ1
000165835 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165835 700__ $$aLora, D.
000165835 700__ $$aGamez, P.
000165835 700__ $$aRivas, J.J.$$uUniversidad de Zaragoza
000165835 700__ $$0(orcid)0000-0003-0249-3104$$aEmbun, R.$$uUniversidad de Zaragoza
000165835 700__ $$aMolins, L.
000165835 700__ $$aCruz, Javier de la
000165835 7102_ $$11004$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Cirugía
000165835 773__ $$g101, 1 (2016), 259-265$$pAnn. thorac. surg.$$tANNALS OF THORACIC SURGERY$$x0003-4975
000165835 8564_ $$s334511$$uhttps://zaguan.unizar.es/record/165835/files/texto_completo.pdf$$yVersión publicada
000165835 8564_ $$s2853142$$uhttps://zaguan.unizar.es/record/165835/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000165835 909CO $$ooai:zaguan.unizar.es:165835$$particulos$$pdriver
000165835 951__ $$a2026-01-15-12:36:20
000165835 980__ $$aARTICLE