A review is made of the results of surgery in 27 patients with non oat-cell carcinoma of the lung and metastasis to the ipsilateral mediastinal lymph nodes (N2) at the pathologic staging. Potentially curative resection was performed in all cases despite the presence of mediastinal lymph node metastases. Six patients had T1, 19 had T2 and two had T3 tumors. Six patients had single mediastinal lymph node metastases, 21 had multiple node involvement. Hilar lymph nodes were negative in 9/27 cases (33%). The three-year actuarial survival was 44% after a mean follow-up of 22.1 months (range 3-76 months). Ten patients died with distant metastases and 17 are still alive. Surgery can therefore be performed for non oat-cell carcinoma of the lung with ipsilateral mediastinal lymph node metastasis (N2). However, in view of the high incidence of distant metastasis, adjuvant systemic therapy is advisable.
|Translated title of the contribution||The role of surgery in non-oat cell lung carcinoma with ipsilateral mediastinal lymph node metastasis|
|Number of pages||3|
|Publication status||Published - 1994|
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