Advances in Lymph Node Metastasis and the Modes of Lymph Node Dissection in Early Stage Non-small Cell Lung Caner

VernacularTitle:早期非小细胞肺癌淋巴结转移规律与清扫方式研究进展
Author: DING NINGNING ¹ ; MAO YOUSHENG
Author Information

1. 100021北京，国家癌症中心，协和医学院，中国医学科学院肿瘤医院胸外科
Keywords: Lung neoplasms; Lymph node metastasis; Mediastinal lymph node dissection; Mediastinal lymph node sampling
From: Chinese Journal of Lung Cancer 2016;19(6):359-363
CountryChina
Language:Chinese
Abstract: Lung cancer ranks the ifrst position in morbidity and mortality among all malignances in China. Non-small cell lung cancer (NSCLC) accounts for nearly 80%of all lung malignancies. Surgical resection is still the current major treatment method for early stage NSCLC. Lymph node stages together with the extent of lymph node dissection directly affect the prognosis. Anatomical lobectomy with systematic mediastinal lymph node dissection have been the standard surgical treat-ment for NSCLC. However, it is controversial in the extent of lymph node dissection for early stage NSCLC. Accurate nodes stage and the extent of mediatinal nodes dissection affect the peri-operative complications and the prognosis of NSCLC greatly. In the past decade, more and more surgeons demostrated that lobe-speciifc or selective mediastinal lymph node dissection is suitable for clinical stage I NSCLC, especially the stage Ia lesions, and may become the standard lymph node dissection mode in the future.