ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Bryan A. Whitson
Michael A. Maddaus
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Whitson, B. A.
Right arrow Articles by Maddaus, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Whitson, B. A.
Right arrow Articles by Maddaus, M. A.
Related Collections
Right arrow Lung - cancer

Ann Thorac Surg 2007;84:1059-1065
© 2007 The Society of Thoracic Surgeons

Review

Surgical Assessment and Intraoperative Management of Mediastinal Lymph Nodes in Non-Small Cell Lung Cancer

Bryan A. Whitson, MD, Shawn S. Groth, MD, Michael A. Maddaus, MD*

University of Minnesota Department of Surgery, Section of Thoracic and Foregut Surgery, Minneapolis, Minnesota

* Address correspondence to Dr Maddaus, University of Minnesota Department of Surgery, MMC 207, 420 Delaware St SE, Minneapolis, MN 55455 (Email: madda001{at}umn.edu).

Mediastinal lymph node status has important prognostic and therapeutic implications for nonsmall cell lung cancer patients. Consequently, an accurate pathologic assessment of mediastinal lymph nodes for metastasis is essential. Despite the significance of nodal assessment, practice patterns among surgeons vary widely. Therefore we reviewed the literature to provide evidence-based recommendations regarding the ideal means and extent of preoperative and intraoperative pathologic mediastinal lymph node staging in non-small cell lung cancer patients. We found that the most sensitive and accurate intraoperative method is a complete mediastinal lymph node dissection. Pathologic evaluation of at least 10 mediastinal lymph node from at least three stations should be performed at the time of surgery.




This article has been cited by other articles:


Home page
 RadiologyHome page
L. Xie, M. Saynak, N. K. Veeramachaneni, D. V. Fried, M. R. Jagtap, W. K. Chiu, D. S. Higginson, M. V. Lawrence, A. H. Khandani, B. F. Qaqish, et al.
Non-Small Cell Lung Cancer: Prognostic Importance of Positive FDG PET Findings in the Mediastinum for Patients with N0-N1 Disease at Pathologic Analysis
Radiology, October 1, 2011; 261(1): 226 - 234.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
D. Gonzalez, M. de la Torre, M. Paradela, R. Fernandez, M. Delgado, J. Garcia, E. Fieira, and L. Mendez
Video-assisted thoracic surgery lobectomy: 3-year initial experience with 200 cases
Eur J Cardiothorac Surg, July 1, 2011; 40(1): e21 - e28.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
G. E. Darling, M. S. Allen, P. A. Decker, K. Ballman, R. A. Malthaner, R. I. Inculet, D. R. Jones, R. J. McKenna, R. J. Landreneau, and J. B. Putnam Jr
Number of Lymph Nodes Harvested From a Mediastinal Lymphadenectomy: Results of the Randomized, Prospective American College of Surgeons Oncology Group Z0030 Trial
Chest, May 1, 2011; 139(5): 1124 - 1129.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
J. M. Borro, D. Gonzalez, M. Paradela, M. de la Torre, R. Fernandez, M. Delgado, J. Garcia, and E. Fieira
The two-incision approach for video-assisted thoracoscopic lobectomy: an initial experience
Eur J Cardiothorac Surg, January 1, 2011; 39(1): 120 - 126.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
F. Ishiguro, K. Matsuo, T. Fukui, S. Mori, S. Hatooka, and T. Mitsudomi
Effect of selective lymph node dissection based on patterns of lobe-specific lymph node metastases on patient outcome in patients with resectable non-small cell lung cancer: A large-scale retrospective cohort study applying a propensity score
J. Thorac. Cardiovasc. Surg., April 1, 2010; 139(4): 1001 - 1006.
[Abstract] [Full Text] [PDF]

Home page
 Proc Am Thorac SocHome page
M. Gomez and G. A. Silvestri
Endobronchial Ultrasound for the Diagnosis and Staging of Lung Cancer
Proceedings of the ATS, April 15, 2009; 6(2): 180 - 186.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. A. Whitson, S. S. Groth, S. J. Duval, S. J. Swanson, and M. A. Maddaus
Surgery for Early-Stage Non-Small Cell Lung Cancer: A Systematic Review of the Video-Assisted Thoracoscopic Surgery Versus Thoracotomy Approaches to Lobectomy
Ann. Thorac. Surg., December 1, 2008; 86(6): 2008 - 2018.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. S. Groth, B. A. Whitson, J. D'Cunha, M. A. Maddaus, M. Alsharif, and R. S. Andrade
Endobronchial Ultrasound-Guided Fine-Needle Aspiration of Mediastinal Lymph Nodes: A Single Institution's Early Learning Curve
Ann. Thorac. Surg., October 1, 2008; 86(4): 1104 - 1110.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. D. Moffatt-Bruce, S. P. Povoski, S. Sharif, N. C. Hall, P. Ross Jr, M. A. Johnson, and E. W. Martin Jr
A Novel Approach to Positron Emission Tomography in Lung Cancer
Ann. Thorac. Surg., October 1, 2008; 86(4): 1355 - 1357.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
W. Zhong, X. Yang, J. Bai, J. Yang, C. Manegold, and Y. Wu
Complete mediastinal lymphadenectomy: the core component of the multidisciplinary therapy in resectable non-small cell lung cancer
Eur J Cardiothorac Surg, July 1, 2008; 34(1): 187 - 195.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
F. J. F. Herth, R. Eberhardt, M. Krasnik, and A. Ernst
Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration of Lymph Nodes in the Radiologically and Positron Emission Tomography-Normal Mediastinum in Patients With Lung Cancer
Chest, April 1, 2008; 133(4): 887 - 891.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 by The Society of Thoracic Surgeons.