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Ann Thorac Surg 2004;78:1753-1754
© 2004 The Society of Thoracic Surgeons

INVITED COMMENTARY

Department of Surgery, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA 98111, USA

gtsdel@vmmc.org

The first 20% of the full text of this article appears below.

The report by Pechet and colleagues reviews the potentially important prognostic indicator of arterial invasion in patients with stage I non–small cell lung cancer. The study has retrospectively reviewed all patients with stage I cancer operated on within a three-year period. A subset of relatively homogeneous patients (n = 100) who had sufficient pathologic material for assessment and no previous surgical or pathologic issues which could affect prognosis were selected for in-depth review. The authors appropriately only included patients with anatomic resections, and 90% of the resections were carried out by a single surgeon. The remaining 10% of their study population had only mediastinal node sampling rather than mediastinoscopy and/or mediastinal node dissection resulting in a degree of inconsistency in postoperative staging.

Follow-up with respect . . . [Full Text of this Article]