Clinicoroentgenological diagnosis of mediastinal lung cancer

There was described a typical pulmonary picture (28 cases) and present differential diagnostic features permitting one to differentiate these patients from those with Hodgkin disease, sarcoidosis and tuberculous bronchadenitis. The main clinical signs that make it possible to establish a correct diagnosis are old age, chest pains and dry cough, accelerated ESR; the roentgenological signs are the unilateral enlargement of the peribronchial lymph nodes. Enlarged lymph nodes merge into a conglomerate with tuberous, ill defined contours. These lymph nodes are located or projected in the central mediastinum leaving the retroperitoneal space free. This outside compression often causes the narrowing of the main bronchi. Clinicoroentgenological diagnosis of mediastinal cancer is usually confirmed at biopsy. A small atypical group (9 cases) where the leading role in diagnosis is played by biopsy, is singled out