Kaseda S, Ikeda T
Department of Thoracic Surgery, Saiseikai Kanagawa-ken Hospital, Yokohama, Japan.
Kyobu Geka. 1994 Jan;47(1):37-9.
Of the 800 patients who underwent pulmonary resection and mediastinal lymph node dissection for lung cancer, 19.4% had skip metastases of the mediastinal nodes. The survival rate of this group was better than that of patients who had involvement of the pulmonary nodes as well as mediastinal nodes. There was a higher rate of skip metastases in upper lobe carcinoma than in lower lobe carcinoma, and lower lobe carcinoma frequently metastasized to the upper mediastinal nodes, especially to tracheobronchial and subcarinal nodes.
在800例行肺癌肺切除及纵隔淋巴结清扫术的患者中,19.4%存在纵隔淋巴结跳跃转移。该组患者的生存率高于肺门淋巴结及纵隔淋巴结均受累的患者。上叶癌的跳跃转移率高于下叶癌,下叶癌常转移至纵隔上区淋巴结,尤其是气管支气管淋巴结和隆突下淋巴结。