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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.51 (2005) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/167
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| タイトル: | Extent of mediastinal lymph node dissection for clinical T1 non-small cell lung cancer |
| その他のタイトル: | Feasibility of mediastinal lymphadenectomy in lung cancer |
| 著者: | Fujiu, Koichi
Kanno, Ryuzo
Suzuki, Hiroyuki
Shio, Yutaka
Higuchi, Mitsunori
Ohsugi, Jyun
Yonechi, Atsushi
Hasegawa, Takeo
Oishi, Akio
Gotoh, Mitsukazu |
| 学内所属: | 外科学第一講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 51 |
| 号: | 1 |
| 開始ページ: | 33 |
| 終了ページ: | 40 |
| 発行日: | 2005年6月 |
| 抄録: | The present study was designed to determine the extent of lymph node dissection for clinical T1 non-small cell lung cancer without negatively influencing curability. The study included 192 cases with clinical T1 non-small cell lung cancers who underwent lobectomy with mediastinal lymphadenectomy. Among 69 cases with right upper lobe tumors, metastasis was found in subcarinal lymph node in one case only. No metastasis was found in subcarinal node in cases free of metastasis in hilar and/or superior mediastinal nodes. Among 33 cases with right lower lobe tumors, metastasis was detected in the superior mediastinal node only in cases with metastasis in hilar and/or subcarinal nodes. Among 51 cases with left upper lobe tumors, no metastasis was found in the subcarinal node. Among 22 cases with left lower lobe tumors, metastasis was found in the superior mediastinal nodes only in cases with metastasis in hilar and/or subcarinal nodes. We propose the following scheme for the extent of mediastinal node dissection. Dissection of mediastinal node for clinical T1 non-small cell lung cancer cannot be omitted. But, 1) for upper lobe tumors, subcarinal lymphadenectomy could be omitted if no metastasis is found in hilar and superior mediastinal nodes based on gross and microscopic examination of frozen sections. 2) Similarly, for lower lobe tumors, superior mediastinal lymphadenectomy could be omitted if no metastasis is detected in the hilar and subcarinal nodes. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/167 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/167/1/FksmJMedSci_51_p33.pdf |
| ISSN: | 0016-2590 |
| DOI: | 10.5387/fms.51.33 |
| PubMed番号: | 16167671 |
| 関連ページ: | https://doi.org/10.5387/fms.51.33 |
| 権利情報: | © 2005 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.51 (2005)
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