The many controversies of stage IIIA/IIIB lung cancer.
Mark A. Socinski, Nirmal K. Veeramachaneni, Benjamin E. Haithcock
Abstract
Mark A. Socinski, Nirmal K. Veeramachaneni, Benjamin E. Haithcock
Abstract
The first issue deserving comment is the heterogeneity of stage III disease. Stage IIIA N2 non–small-cell lung cancer (NSCLC) includes patients with at least one “incidental” N2 node detected at the time of surgical resection in patients who had a negative mediastinal evaluation (including mediastinoscopy) preoperatively. It also includes patients whose initial computed tomography (CT) and positron-emission tomography (PET) scans show multiple bulky (> 2 cm) nodes that are confirmed by either mediastinoscopy or endobronchial ultrasound-guided bronchoscopy.
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The first issue deserving comment is the heterogeneity of stage III disease. Stage IIIA N2 non–small-cell lung cancer (NSCLC) includes patients with at least one “incidental” N2 node detected at the time of surgical resection in patients who had a negative mediastinal evaluation (including mediastinoscopy) preoperatively. It also includes patients whose initial computed tomography (CT) and positron-emission tomography (PET) scans show multiple bulky (> 2 cm) nodes that are confirmed by either mediastinoscopy or endobronchial ultrasound-guided bronchoscopy.
Key concepts: Mediastinoscopy, Medicine, Stage (stratigraphy), Lung cancer, Positron emission tomography, Radiology, Endobronchial ultrasound, Bronchoscopy