N2 disease in non-small cell lung cancer patients,diagnosis and evaluation:a Turkish chest surgeon's perspective

被引：1

作者：

Alper TOKER ^{[1
]}

机构：

[1] Department of Thoracic Surgery,Istanbul Medical School,Istanbul University

来源：

中国肺癌杂志 | 2008年 / 05期

关键词：

Mediastinum Neoplasm staging Lung neoplasms;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

100214 ;

摘要：

Mediastinal or N2 disease is the most important factor in selecting the optimal treatment strategy in patients without distant metastasis.A direct surgical resection has not generally been accepted as a treatment modality in whom mediastinal nodal involvement is demonstrated.Patients with lung cancer can be diagnosed as clinical N2 disease based on CT and PET-CT characteristics of the mediastinum and the clinical presentation.Invasive diagnostic modalities used in the detection of N2 disease are:mediastinoscopy,endoesophageal ultrasound guided biopsy(EUS),transbronchial needle aspiration(TBNA),endobronchial ultrasound guided biopsy(EBUS),video-assisted thoracoscopic surgery(VATS),and mediastinotomy/extended mediastinoscopy.In this article,the author discusses about invasive and noninvasive techniques on the evaluation of mediastinal disease and presents his experience on this topic.

引用

页码：622 / 626

页数：5

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