Surgical management of non-small cell lung cancer with mediastinal lymphadenopathy

G. Rocco, F. Perrone, A. Rossi, C. Gridelli

Research output: Contribution to journalArticlepeer-review

Abstract

Several issues regarding the surgical management of N2 disease remain unresolved. First, the anatomical attribution of a mediastinal nodal station, especially in certain areas (i.e., azygos recess), is a source of continuous debate. Second, the presence of occult N2, single or multilevel N2, bulky N2, the skip phenomenon and the observation of a different prognostic outlook for specific mediastinal nodal stations are all elements of discussion that cannot clarify whether stage IIIA-N2 non-small cell lung cancer is indeed a locally, albeit advanced, manifestation of the disease or the prodrome of an actual systemic dissemination. In this subset of patients lies the challenge for multidisciplinary treatment modalities, where the surgical role needs to be further defined in the context of an integrated collaborative effort with the medical oncologist and the radiotherapist.

Original languageEnglish
Pages (from-to)325-333
Number of pages9
JournalClinical Oncology
Volume22
Issue number5
DOIs
Publication statusPublished - Jun 2010

Keywords

  • Lung surgery
  • Mediastinum
  • N2
  • Non-small cell lung cancer

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Surgical management of non-small cell lung cancer with mediastinal lymphadenopathy'. Together they form a unique fingerprint.

Cite this