What question did this study set out to answer?

Assess the diagnostic yield and cost-effectiveness of routine chest radiography and selective chest CT for detecting pulmonary metastases in patients with T1 extremity soft tissue sarcomas.

January 1, 2001CancerOpen Access

Utility of chest computed tomography for staging in patients with T1 extremity soft tissue sarcomas

View Full Paper

Ask AI

Bookmark

Assess the diagnostic yield and cost-effectiveness of routine chest radiography and selective chest CT for detecting pulmonary metastases in patients with T1 extremity soft tissue sarcomas.
Retrospectively analyzed 125 consecutive patients presenting to a tertiary care cancer center with primary, nonrecurrent T1 extremity soft tissue sarcomas.
Evaluated two staging strategies (chest radiography alone versus chest radiography plus chest CT) utilizing an incremental cost-effectiveness ratio over a median follow-up of 76 months.
Staging chest radiography was suspicious for metastatic disease in <1% of patients (1/125), and selective chest CT (performed in 41%, n=51) confirmed metastasis only in that single patient (<1%).
Metachronous pulmonary metastases developed in 15% of patients (n=19) during follow-up, resulting in an incremental cost-effectiveness ratio of $59,772 per synchronous metastasis detected by adding chest CT.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Retrospective cohort study reveals minimal yield and high costs of chest CT for staging T1 extremity soft tissue sarcoma, challenging routine guidelines.

Cite This Study

Fleming et al. (2001) studied this question.

synapsesocial.com/papers/6a93b44cecce1279b46968bf https://doi.org/10.1002/1097-0142(20010815)92:4<863::aid-cncr1394>3.0.co;2-e

View Full Paper

Ask AI

Bookmark

Implication

Retrospective cohort study reveals minimal yield and high costs of chest CT for staging T1 extremity soft tissue sarcoma, challenging routine guidelines.

Utility of chest computed tomography for staging in patients with T1 extremity soft tissue sarcomas

Key Points

Discussion

Implication

Cite This Study

Utility of chest computed tomography for staging in patients with T1 extremity soft tissue sarcomas

Key Points

Discussion

Implication

Cite This Study

Also Consider

Also Consider