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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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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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.