[在何种情况下我们可以简化周围型小肺癌的纵隔淋巴结清扫术？]

[In what case can we abbreviate mediastinal lymph nodes dissection of peripheral small-sized lung cancer?].

作者信息

Yamane Y, Shimada K, Ishida I

机构信息

Division of Respiratory Surgery, Iwaki Kyouritsu Municipal Hospital, Iwaki, Japan.

出版信息

Kyobu Geka. 2004 Jan;57(1):61-6.

PMID:14733101

Abstract

UNLABELLED

We analyzed 723 cases of non small cell lung cancer (459 adenocarcinomas and 264 squamous cell carcinomas) from the view point of lymph nodes metastases, according to histological type, location of cancer and tumor size.

METHOD

Histological type was adenocarcinoma or squamous cell carcinoma. Location was divided into 8 areas [right side; 4 areas, upper lobe (RUL)/middle lobe (RML)/S6 (RS6)/basal segment of lower lobe (RBS): left side; 4 areas, upper division of upper lobe (LUD)/lingula (LLS)/S6 (LS6)/Basal segment of lower lobe (LBS)]. Tumor size was divided by centimeters, namely 0.0-1.0 cm, 1.1-2.0 cm, 2.1-3.0 cm, etc..

RESULTS

Safety size of lung cancer in which we can abbreviate mediastinal lymph nodes dissection was as follows. In adenocarcinoma, in RUL/RML/RBS 1.0 cm, in RS6 2.0 cm, in LUD 1.0 cm, in LLS/LS6/LBS 2.0 cm. In squamous cell carcinoma, in RUL 1.0 cm, in RML/RS6/RBS 2.0 cm, in LUD 1.0 cm, in LLS/LS6/LBS 2.0 cm.

CONCLUSION

In 1.0 cm or smaller non small cell lung cancer we might abbreviate mediastinal lymph nodes dissection. Moreover, in squamous cell carcinoma of (RML, LLS, right or left lower lobe) of 2.0 cm or smaller size, we might abbreviate mediastinal lymph nodes dissection.

摘要

未标注

我们从淋巴结转移的角度，根据组织学类型、癌症位置和肿瘤大小，分析了723例非小细胞肺癌（459例腺癌和264例鳞状细胞癌）。

方法

组织学类型为腺癌或鳞状细胞癌。位置分为8个区域[右侧；4个区域，上叶（RUL）/中叶（RML）/S6（RS6）/下叶基底段（RBS）：左侧；4个区域，上叶上部（LUD）/舌叶（LLS）/S6（LS6）/下叶基底段（LBS）]。肿瘤大小以厘米划分，即0.0 - 1.0厘米、1.1 - 2.0厘米、2.1 - 3.0厘米等。