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Original Articles: General Thoracic

Invited Commentary

Division of Thoracic Surgery, Yale University, FMB 128, 330 Cedar St, New Haven, CT 06520-8062

(Email: frank.detterbeck@yale.edu).

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

Misthos and colleagues [1] have performed an interesting retrospective analysis of a fairly large cohort of resected patients who were found to be N2 positive after complete resection. They have confirmed what others have demonstrated: that single station N2 involvement carries a better prognosis than multi-station N2 involvement [2, 3].

This study has several limitations. It is unfortunate that the policy toward preoperative staging is described merely as involving "different means." This is a particular issue because the level of postoperatively discovered N2 disease is one of the highest reported (23%). Moreover, two thirds of these patients had multi-station . . . [Full Text of this Article]

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