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Ann Thorac Surg 2002;74:870-875
© 2002 The Society of Thoracic Surgeons
a Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA
b Veterans Affairs Medical Center, University Hospital, New Orleans, Louisiana, USA
* Address reprint requests to Dr Schmidt, Department of Surgery, Louisiana State University Health Sciences Center 1542 Tulane Ave, New Orleans, LA 70112 USA
e-mail: fschmi{at}lsuhsc.edu
Presented at the Forty-eighth Annual Meeting of the Southern Thoracic Surgical Association, San Antonio, TX, Nov 8–10, 2001.
Background. Assessment of sentinel nodes to predict metastases in a regional nodal basin is valuable for staging patients with melanoma and breast carcinoma. This study tested whether injection of isosulfan blue and technetium-99 could identify mediastinal sentinel nodes in patients with lung carcinoma and determine whether sentinel node histology predicts distal nodal metastases.
Methods. Isosulfan blue and technetium-99 were injected into the tumor and pulmonary resection performed. The hilum and mediastinum were assessed visually and with the gamma probe, and a mediastinal nodal dissection was performed.
Results. Thirty-one patients were evaluated. Three patients had positive sentinel nodes and positive distal mediastinal nodes. Twenty-two patients had negative sentinel nodes and negative distal nodes. No sentinel node was identified in 6 patients and 2 patients had two sentinel nodes.
Conclusions. These data demonstrate that this rapid, simple technique can identify sentinel nodes in the mediastinum and that the sentinel node is an accurate predictor of distal nodal metastases in patients with lung cancer.
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