中国临床医学2012，Vol.19Issue(6)：616-618,3.
早期非小细胞肺癌淋巴结清扫范围的探讨
Lymph Node Dissection in Early-Stage Non-Small Cell Lung Cancer
逄旭光 1蒋伟 1王群 1陈小科 1范虹1
作者信息
- 1. 复旦大学附属中山医院胸外科,上海 200032
- 折叠
摘要
Abstract
Objective:To investigate the optimal range of nodal dissection in early-stage non-small cell lung cancer(NSCLC). Methods: From 2005 to 2008, 561 patients with NSCLC of less than 5 cm in the diameter of tumor and NO stage underwent surgery with systematic nodal dissection (SND). N2 disease was revealed histologically after surgery and patterns of lymph nodal metastasis was analyzed. Results: Among 271 patients with upper lobe tumors, superior mediastinal lymph nodes metastases were found in 37 patients (13. 7%), whereas subcarinal metastases were found in 8 patients (3. 0%), and inferior mediastinal involvements were found in only 2 patients (0. 7%). Among 217 patients with lower lobe tumors, subcarinal involvements were found in 20 patients (9. 2%), whereas superior mediastinal metastases were found in only 11 patients (5.1%). Conclusion: Lobe-specific SND might be an effective and appropriate strategy for patients with early-stage NSCLC.关键词
肺肿瘤/癌/淋巴结清扫术Key words
Lung neoplasm/ Carcinoma/ Lymph node dissection分类
医药卫生引用本文复制引用
逄旭光,蒋伟,王群,陈小科,范虹..早期非小细胞肺癌淋巴结清扫范围的探讨[J].中国临床医学,2012,19(6):616-618,3.
