Trakhtenberg A Kh, Chissov V I, Frank G A, Samokhodskiĭ E V
Grud Serdechnososudistaia Khir. 1990 Oct(11):56-8.
The characteristic features of primary T1 tumor metastasis to the intrathoracic lymph nodes were studied in specimens removed during surgical treatment of 404 patients with lung carcinoma. Regional metastases were detected in 31.9% of cases. The frequency of metastases in central carcinoma was determined by the level of involvement of the bronchus. The percentage of affection of the regional collectors was highest in patients with small-cell carcinoma. It is shown that in primary T1 lung carcinoma not only the bronchopulmonary and root but also the tracheobronchial lymph must be removed and examined immediately during the operation.
对404例肺癌患者手术治疗时切除的标本进行研究,以探讨原发性T1肿瘤转移至胸内淋巴结的特征。31.9%的病例发现有区域转移。中央型肺癌转移的频率取决于支气管受累程度。区域引流区受累百分比在小细胞癌患者中最高。结果表明,对于原发性T1肺癌,术中不仅必须切除支气管肺和肺门淋巴结,还必须立即切除并检查气管支气管淋巴结。