Chapter

Staging of lung cancer

Sofie De Craene, Kurt G. Tournoy and Jan P. van Meerbeeck

in Systemic Treatment of Non-Small Cell Lung Cancer

Published on behalf of Oxford University Press

ISBN: 9780199580484
Published online March 2012 | e-ISBN: 9780199607532 | DOI: http://dx.doi.org/10.1093/med/9780199580484.003.0002

Series: Oxford Oncology Library

Staging of lung cancer

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• The changes in the 7th edition of the UICC-TNM-classification will improve the alignment of stage with prognosis and in certain subsets also with treatment. • The 7th edition of the UICC-TNM-classification is recommended for the classification of NSCLC, SCLC and carcinoid tumours of the lung. • The new international Nodal Chart incorporates the concept of ‘nodal zones’ instead of stations. In the superior mediastinum, the midline moved from the anatomic midline to the left border of the trachea. • Systematic lobe specific nodal sampling is recommended in all cases in order to document complete resection, accurately define nodal staging and objectivate pN status. This implies sampling of at least 3 mediastinal stations including always the subcarinal one and 3 N1-nodes. • A standardized definition of visceral pleural invasion (VPI) has been incorporated into the 7th edition of TNM and includes the use of an elastic stain in the determination of VPI.

Chapter.  3879 words.  Illustrated.

Subjects: Medical Oncology

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