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Department of Thoracic Surgery, City of Hope National Medical Center, 1500 E Duarte Rd, Duarte, CA 91010
(Email: fgrannis@coh.org).
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To the Editor:
Riquet and colleagues [1] report their experience in the primary surgical treatment of 586 patients with N2, stage IIIA, non-small cell lung cancer (NSCLC). Cases include both cN0 with pN2 metastasis after mediastinal node dissection, as well as patients with clinical (cN2) disease, and "bulky" cN2 disease, defined as nodes larger than 2 cm. Their patients had relatively high survival of greater than 30% at 5 years with single station N2 and 20% in patients with "bulky" disease, without preoperative mediastinoscopy, preoperative chemotherapy, or chemoradiation therapy.
But isn't this thoracic surgical heresy?
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