Use of Endobronchial Ultrasound and Endoscopic Ultrasound to Stage the Mediastinum in Early-Stage Lung Cancer

被引:13
作者
Gilbert, Christopher [1 ]
Yarmus, Lonny [1 ]
Feller-Kopman, David [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Pulm & Crit Care Med, Baltimore, MD USA
来源
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK | 2012年 / 10卷 / 10期
关键词
TRANSBRONCHIAL NEEDLE ASPIRATION; POSITRON-EMISSION-TOMOGRAPHY; CLINICAL-PRACTICE GUIDELINES; LYMPH-NODES; BRONCHOSCOPE; DIAGNOSIS;
D O I
10.6004/jnccn.2012.0131
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Lung cancer remains the deadliest cancer, with more than 160,000 deaths and 226,000 newly diagnosed cases estimated in 2012. Because treatment and survival are directly linked to disease stage, accurate staging in all patients is crucial. The proper staging of early-stage lung cancer involves investigation for the presence of metastatic spread via lymph nodes within the thorax. Initial steps include CT and PET. Mediastinoscopy has previously been considered the gold standard for mediastinal lymph node sampling; however, over the past 10 years the use of ultrasound-guided lymph node sampling has been shown to be at least as sensitive, and has the added advantage of being able to access significantly more stations. This article reviews the current standards of lung cancer staging in 2012. (JNCCN 2012;10:1277-1282)
引用
收藏
页码:1277 / 1282
页数:6
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