早期非小细胞肺癌淋巴结清扫范围的探讨

被引：7

作者：

逄旭光

蒋伟

王群

陈小科

范虹

机构：

[1] 复旦大学附属中山医院胸外科

来源：

中国临床医学 | 2012年 / 19卷 / 06期

关键词：

肺肿瘤; 癌; 淋巴结清扫术;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

摘要：

目的:探讨早期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者的淋巴结清扫范围。方法:回顾分析2005年—2008年561例肿瘤最大径≤5 cm的cN0NSCLC患者的临床资料。所有患者均行肺叶切除及系统性淋巴结清扫术,比较不同肺叶肿瘤的纵隔淋巴结转移部位的情况。结果:在271例上肺叶肿瘤中,上纵隔淋巴结转移37例(13.7%),隆突下淋巴结转移8例(3.0%),下纵隔淋巴结转移2例(0.7%);在217例下肺叶肿瘤中,隆突下淋巴结转移的20例(9.2%),上纵隔淋巴结转移的11例(5.1%)。结论:肺叶特异性淋巴结清扫对于早期NSCLC患者是一种合理的淋巴结处理策略。

引用

页码：616 / 618

页数：3

共 14 条

[1]

Radical lobectomy. Cahan WG. Journal of Thoracic and Cardiovascular Surgery . 1960

[2]

Proposal for reasonable mediastinal lymphadenectomy in bronchogenic carcinomas: role of subearinal nodes in selective dissection. Okada M,Tsubota N,Yoshimura M,et al. Journal of Thoracic Imaging . 1998

[3] Mediastinal lymph node dissection improves survival in patients with stages II and IIIa non-small cell lung cancer [J].

Keller, SM ;

Adak, S ;

Wagner, H ;

Johnson, DH .

ANNALS OF THORACIC SURGERY, 2000, 70 (02) :358-365

[4] A randomized trial of systematic nodal dissection in resectable non-small cell lung cancer [J].

Wu, YL ;

Huang, ZF ;

Wang, SY ;

Yang, XN ;

Ou, W .

LUNG CANCER, 2002, 36 (01) :1-6

[5]

A randomized trial of systematic nodal dissection in resectable non-small cell lung cancer. Wu Y,Hung Z,Wang S,et al. Lung Cancer . 2002

[6]

Effectiveness of radical systematic mediastinal lymphadenectomy in patients with resectable non-small cell lung cancer, results of a prospective randomized trial. Izbicki JR,Passlick B,Pantel K,et al. Annals of Surgery . 1998

[7]

Selective mediastinal lymphadenectomy for clinico-surgical stage I non-small cell lung cancer. Okada M,SakamotoT,Yuki Tet al. The Annals of Thoracic Surgery . 2006

[8]

The new strategy of selective nodal dissection for lung cancer based on segment-specific patterns of nodal spread. Watanabe S,Asamura H,Suzuki K,et al. Interact Cardiovasc Thorac Surg . 2005

[9]

Distribution and likelihood of lymph node metastasis based on the lobar location of non small-cell lung cancer. Cerfolio RJ,Bryant AS. The Annals of Thoracic Surgery . 2006

[10]

Mediastinal lymph node dissection improves survival in patients with stages II and IIIa non-small cell lung cancer. Eastern Cooperative Oncology Group. Keller SM,Adak S,Wagner H,et al. Annals of Thoracic Surgery, The . 2000

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