2007
DOI: 10.1055/s-2006-924626 View full text |Buy / Rent full text
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Abstract: In patients who underwent routine mediastinoscopy, lobe-specific lymph node dissection could be recommended. Patients with multilevel N2 involvement did not seem to benefit from resectional surgery.

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“…10 Since the 1990s, several retrospective studies have shown detailed nodal spread patterns in NSCLC and a lobe-specific pattern of nodal spread has been widely recognized. [11][12][13][14][15][16][17][18][19] Okada et al reported the lymphatic metastatic patterns in 760 patients with NSCLC. 11 Among 406 upper lobe tumors, none had subcarinal node metastasis.…”
Section: Introductionmentioning
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“…10 Since the 1990s, several retrospective studies have shown detailed nodal spread patterns in NSCLC and a lobe-specific pattern of nodal spread has been widely recognized. [11][12][13][14][15][16][17][18][19] Okada et al reported the lymphatic metastatic patterns in 760 patients with NSCLC. 11 Among 406 upper lobe tumors, none had subcarinal node metastasis.…”
Section: Introductionmentioning
“… It was found that 72–73% of micrometastases cases demonstrated metastasis to a single station, in which the range of metastasis was localized, and the prognosis was better than that of metastasis to multiple stations [ 16 ]. In several surgical reports [ 17 23 ], a relationship was observed between the location of the primary tumor and the lymph node stations likely to be metastasized. These reports are summarized in Table 3 .…”
Section: Methodsmentioning
“…In several surgical reports [ 17 23 ], a relationship was observed between the location of the primary tumor and the lymph node stations likely to be metastasized. These reports are summarized in Table 3 .…”
Section: Methodsmentioning
“…Similar results have been reported by Okada (20), only 2 of 47 pathological-N2 patients had skip metastasis to SMN without SCN involvement. Both SCN (24) and SMN metastasis (25) in the lower lobe indicated poor prognosis. Based on such findings, SMN dissection may be unnecessary for right lower lobe NSCLC patients when hilar lymph node and SCN are both intraoperatively intact (17,20,26).…”
Section: Lower Lobesmentioning