Lu Yun, Ma Teng, Wang Lei, Xue Tao
Department of Cardiothoracic Surgery, the Affiliated Zhongda Hospital of Southeast University, Nanjing 210000, China.
Zhongguo Fei Ai Za Zhi. 2019 Aug 20;22(8):520-525. doi: 10.3779/j.issn.1009-3419.2019.08.07.
Lung cancer is the malignant tumor with the highest morbidity and mortality in China. Non-small cell lung cancer is the main pathological type. Lymph node metastasis is the most common and primary metastatic pathway in non-small cell lung cancer. Acknowledged as the major factor determining tumor staging and prognosis. Unfortunately, it's presently hard to make an accurate preoperative judgment on the lymph node metastasis of early stage non-small cell lung cancer. Consequently, there has been a long-standing controversy on lymph node sweeping for early stage non-small cell lung cancer, especially for those clinical stage I. The regularity of non-small cell lung cancer lymph node metastasis and the ways of lymph node sweeping will be reviewed in this paper. .
肺癌是我国发病率和死亡率最高的恶性肿瘤。非小细胞肺癌是主要的病理类型。淋巴结转移是非小细胞肺癌最常见的主要转移途径,被认为是决定肿瘤分期和预后的主要因素。遗憾的是,目前很难对早期非小细胞肺癌的淋巴结转移做出准确的术前判断。因此,对于早期非小细胞肺癌,尤其是临床Ⅰ期患者的淋巴结清扫,一直存在争议。本文将对非小细胞肺癌淋巴结转移的规律及淋巴结清扫方式进行综述。