Current methods of staging and restaging of the mediastinal nodes in non-small-cell lung cancer

doi:10.5320/wjr.v5.i2.166

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World Journal of Respirology

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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.

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.

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]

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