Surgical staging of non-small-cell lung cancer

Ricardo Bello, Steven M. Keller

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Accurate intraoperative assessment of disease extension is an essential component of surgery for non-small-cell lung cancer (NSCLC). Although the size of the primary tumor and invasion of adjacent structures (T descriptor) may be readily determined by the surgeon and pathologist, the presence or absence of tumor within the intrathoracic lymph nodes (N descriptor) can be ascertained only by microscopic examination. Histologic staging relies on the quality of the specimens that are submitted to the pathologist. Thus, care must be taken to ensure that the appropriate specimens are obtained and properly handled. In order to appreciate the technical aspects of the staging procedures, an understanding of pulmonary lymphatic drainage and intrathoracic metastatic patterns is necessary. The information that is derived from the surgical/pathologic staging process is important for three reasons. First, it allows optimal decisions regarding the need for additional therapy. Second, it provides prognostic information. Third, it provides a reproducible method for comparison of different treatment strategies.

Original languageEnglish (US)
Title of host publicationTumors of the Chest: Biology, Diagnosis and Management
PublisherSpringer Berlin Heidelberg
Pages145-157
Number of pages13
ISBN (Print)6293603618, 9783540310396
DOIs
StatePublished - 2006

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Non-Small Cell Lung Carcinoma
Pathologic Processes
Drainage
Neoplasms
Lymph Nodes
Lung
Therapeutics
Pathologists
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bello, R., & Keller, S. M. (2006). Surgical staging of non-small-cell lung cancer. In Tumors of the Chest: Biology, Diagnosis and Management (pp. 145-157). Springer Berlin Heidelberg. https://doi.org/10.1007/3-540-31040-1_12

Surgical staging of non-small-cell lung cancer. / Bello, Ricardo; Keller, Steven M.

Tumors of the Chest: Biology, Diagnosis and Management. Springer Berlin Heidelberg, 2006. p. 145-157.

Research output: Chapter in Book/Report/Conference proceedingChapter

Bello, R & Keller, SM 2006, Surgical staging of non-small-cell lung cancer. in Tumors of the Chest: Biology, Diagnosis and Management. Springer Berlin Heidelberg, pp. 145-157. https://doi.org/10.1007/3-540-31040-1_12
Bello R, Keller SM. Surgical staging of non-small-cell lung cancer. In Tumors of the Chest: Biology, Diagnosis and Management. Springer Berlin Heidelberg. 2006. p. 145-157 https://doi.org/10.1007/3-540-31040-1_12
Bello, Ricardo ; Keller, Steven M. / Surgical staging of non-small-cell lung cancer. Tumors of the Chest: Biology, Diagnosis and Management. Springer Berlin Heidelberg, 2006. pp. 145-157
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