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A Journal on Diseases of the Respiratory System


Official Journal of the Italian Society of Thoracic Endoscopy
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Minerva Pneumologica 2012 March;51(1):1-9

language: English

What is the optimal lymph node staging algorithm in operable non small-cell lung cancer?

Renaud S., Olland A., Falcoz P. E., Santelmo N., Massard G.

Service de Chirurgie Thoracique, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg Strasbourg, France


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Lung cancer remains the leading cancer diagnosed in the world with 1.35 million cases per year. An accurate tumor staging is necessary because of its usefulness in the therapeutic and prognostic fields. In cases of potentially resectable tumors, the lymph node status N determine the therapeutic approach into an immediate resection or a neoadjuvant or exclusive radio-chemotherapy. Imaging methods, such as chest CT and PET are not enough sensitive to allow by themselves a decision treatment. Any suspicious image must be confirmed histologically by endoscopic ultrasonography and / or mediastinoscopy.

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