Zielinski M. Current methods of staging and restaging of the mediastinal nodes in non-small-cell lung cancer. World J Respirol 2015; 5(2): 166-175 [DOI: 10.5320/wjr.v5.i2.166]
Corresponding Author of This Article
Marcin Zielinski, MD, PhD, Department of Thoracic Surgery, Pulmonary Hospital, Ul. Gładkie 1, 34500 Zakopane, Poland. marcinz@mp.pl
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Respirol. Jul 28, 2015; 5(2): 166-175 Published online Jul 28, 2015. doi: 10.5320/wjr.v5.i2.166
Current methods of staging and restaging of the mediastinal nodes in non-small-cell lung cancer
Marcin Zielinski
Marcin Zielinski, Department of Thoracic Surgery, Pulmonary Hospital, 34500 Zakopane, Poland
Author contributions: Zielinski M designed, performed research, analyzed data and wroted the paper.
Conflict-of-interest statement: The author declares no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Marcin Zielinski, MD, PhD, Department of Thoracic Surgery, Pulmonary Hospital, Ul. Gładkie 1, 34500 Zakopane, Poland. marcinz@mp.pl
Telephone: +48-18-2015045 Fax: +48-18-2014632
Received: November 24, 2014 Peer-review started: November 26, 2014 First decision: January 20, 2015 Revised: April 13, 2015 Accepted: July 7, 2015 Article in press: July 8, 2015 Published online: July 28, 2015 Processing time: 252 Days and 17.1 Hours
Core Tip
Core tip: All methods currently used for staging of non-small-cell lung cancer are analyzed. These methods include imaging techniques [computer tomography (CT), positron emission tomography (PET) combined with CT (PET/CT)], endoscopic/ultrasound techniques endobronchial ultrasound/transbronchial needle aspiration and endoscopic ultrasound/fine needle aspiration and surgical techniques standard cervical mediastinoscopy, video-assisted mediastinoscopy, extended mediastinoscopy, video-assisted mediastinoscopic lymphadenectomy, transcervical extended mediastinal lymphadenectomy, anterior mediastinotomy (chamberlain procedure) and video-assisted thoracic surgery. The issue of intraoperative staging is also described. Finally, the author’s proposed algorithm of staging, both for primary staging and restaging after neoadjuvant therapy is presented.