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Mediastinal Lymph Node Stations Axial CT of Lymph NodesSmithuis, Robin
Citation:Morgagni P, Nanni O, Carretta E, Altini M, Saragoni L, Falcini F, Garcea D. Lymph node pick up by separate stations: Option or necessity?World J Gastrointest Surg2015; 7(5): 71-77 URL:https://www.wjgnet.com/1948-9366/full/v7/i5/71.htm ...
Recent advances in the treatment of lymph node metastases have highlighted the potential of Photothermal Therapy (PTT) and Photodynamic Therapy (PDT) as effective strategies in the oncological arsenal. These modalities offer minimally invasive options aimed at targeted destruction of cancer cells with min...
Taking a biopsy from those stations could be of value when there are no other mediastinal lymph node stations or when biopsy in other sites failed to reach a diagnosis. Surgery is the gold standard technique in the evaluation of those stations; endoscopic ultrasound-fine needle aspiration (EUS-...
Lymph Node Stations In the 1970s, the American Joint Committee on Cancer (AJCC) and the Union Internationale Contre le Cancer (UICC) introduced a numeric system for localization of intrathoracic lymph nodes for the purpose of lung cancer staging. Lymph nodes were described relative to regions in...
proposed an anatomical map that included numbered lymph node stations, which then became widely used for nodal dissection. In 1997, Mountain and Dresler published a new map, which is now favored by the American Thoracic Society and the European Respiratory Society. Using these maps, regional nodal...
room to operate, oozing and back-bleeding is no longer a hindrance, and visualization of the required lymph node zones is simpler. The best approach is now to perform a systematic, if not complete, dissection of the anatomic lymph node stations that have not already been sampled or dissected...
Subsequently, using the open or VATS approach, appropriate lung resection was performed and lymph node stations 5, 6, 7, 8, and 9 L were dissected. The dissection technique has been described in detail elsewhere [5]. During the procedure, the nodes from each station were labelled separately ...
Ultimately biopsy or node resection for pathological examination is the only means of certain diagnosis. Figure 2 shows an anatomical map of the mediastinal node stations used in determining N stage for lung cancer. In bronchogenic carcinoma, there is clear prognostic value in accurate mediastinal ...