Maximizing lymph node dissection from fresh lung cancer specimens.
| Autor: | Raymond C; Department of Pulmonology and Thoracic Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec, QC, Canada., Vieira A; Department of Thoracic Surgery, Centre Hospitalier Affilié Universitaire Régional, Université de Montreal, Trois-Rivières, QC, Canada., Joubert P; Department of Pathology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, QC, Canada., Ugalde PA; Division of Thoracic and Cardiac Surgery, Brigham and Women's Hospital, Boston, MA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2022 Dec 02; Vol. 63 (1). |
| DOI: | 10.1093/ejcts/ezac554 |
| Abstrakt: | Evaluation of lymph nodes during lung cancer resection is essential for pathologic staging and adjuvant treatment decisions. We developed a standardized approach for grossing resected lobes and segments to better assign the N1 category to hilar and peripheral lymph nodes. Lung specimens were dissected centrifugally from the bronchial stump, and all lymph nodes at the segmental and subsegmental bifurcations were removed. When combined with mediastinal lymph node dissection, this approach will likely maximize the number of lymph nodes analysed and improve the accuracy of pathologic N descriptor classification. (© The Author(s) 2022. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.) |
| Databáze: | MEDLINE |
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