Bradley Claire, Novoa Nuria, Riva Laura, Lampaki Sophia, Ricciardi Sara, Rovanias Michael, Chaabouni Malek, Turner Richard, Zachariou Antonia, Hardavella Georgia, Navani Neal
Belfast City Hospital Health and Social Services Trust, Respiratory Medicine, Belfast, UK.
Puerta de Hierro University Hospital of Majadahonda, Madrid, Spain.
Breathe (Sheff). 2025 Jul 15;21(3):230191. doi: 10.1183/20734735.0191-2023. eCollection 2025 Jul.
In this review, we explore the importance of accurate mediastinal staging in nonsmall cell lung cancer, which directly impacts management options and prognosis. We outline the various means of staging, including radiological and interventional techniques, with a focus on the advantages and limitations of the different approaches. The review also identifies ways in which mediastinal staging has changed over time, particularly with the advent of effective endoscopic nodal sampling, and how emerging research and developments may lead to further adjustments in clinical practice. The role of multidisciplinary decision making, particularly in complex cases, remains integral to the process of mediastinal staging in lung cancer.
在本综述中，我们探讨了非小细胞肺癌准确纵隔分期的重要性，其直接影响治疗方案的选择和预后。我们概述了各种分期方法，包括放射学和介入技术，重点介绍了不同方法的优缺点。该综述还确定了纵隔分期随时间的变化方式，特别是有效内镜下淋巴结采样技术的出现，以及新出现的研究和进展如何可能导致临床实践的进一步调整。多学科决策的作用，特别是在复杂病例中，仍然是肺癌纵隔分期过程中不可或缺的一部分。
