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Ann Thorac Surg 2006;82:4-5
© 2006 The Society of Thoracic Surgeons

Editorial

No Nodes is Good Nodes

Alex G. Little, MD *

Department of Surgery, Wright State University, Boonshoft School of Medicine, Dayton, Ohio

* Address correspondence to Dr Little, Department of Surgery, Wright State University, Boonshoft School of Medicine, 1 Wyoming St, 7801 WCHE, Dayton, OH 45409 (Email: alex.little@wright.edu).

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

here is undisputed great value in the accurate staging of patients with nonsmall cell lung cancer, as staging results guide therapeutic, particularly multimodality, strategy planning. The article, "Intraoperative, radioguided sentinel lymph node mapping in 110 non-small cell lung cancer patients," addresses the issues of operative and pathologic staging of intrathoracic lymph nodes by reporting an experience in assessing a sentinel lymph node detection technique [1].

As defined by Webster, a sentinel is, "One who watches or guards ... from surprise, to observe the approach of danger and give notice of it." When Morton and coworkers [2] introduced the concept of sentinel node detection in patients with breast cancer and melanoma, their goal was identification of the lymph node that was most likely to harbor metastatic disease and thus give notice of the likelihood of other, more distant, nodes harboring metastases. There are two potential benefits of this technique (ie, one intraoperative and one postoperative). The theoretical intraoperative benefit is the ability to withhold an extensive regional lymphadenectomy when an identified sentinel lymph node is free of metastases. This requires that the node . . . [Full Text of this Article]


Related Article

Intraoperative, Radio-Guided Sentinel Lymph Node Mapping in 110 Nonsmall Cell Lung Cancer Patients
Witold Rzyman, Ole M. Hagen, Rafal Dziadziuszko, Grazyna Kobierska-Gulida, Andrzej Karmolinski, Inger M. Lothe, Almira Babovic, Maciej Murawski, Waldemar Paleczka, Tomasz Jastrzebski, Andrzej Kopacz, Jacek Jassem, Piotr Lass, and Jaroslaw Skokowski
Ann. Thorac. Surg. 2006 82: 237-242. [Abstract] [Full Text] [PDF]





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