Minimally Invasive Staging of N2 Disease

Endobronchial Ultrasound/Transesophageal Endoscopic Ultrasound, Mediastinoscopy, and Thoracoscopy

Paul Schipper, Matt Schoolfield

    Research output: Contribution to journalArticle

    11 Citations (Scopus)

    Abstract

    Multiple methods of minimally invasive evaluation of the N2 lymph nodes have been developed in hope of providing information similar to that obtained by a lymph node dissection, but with less morbidity. This article details four minimally invasive procedures: endobronchial ultrasound and needle biopsy, endoscopic transesophageal ultrasound and needle biopsy, cervical mediastinoscopy and biopsy, and thoracoscopy and biopsy. It discusses the lymph nodes that can be evaluated by these procedures, the limitations of the procedures, additional information the procedures can yield beyond lymph node staging, the procedures' reliability in determining whether cancer is present in the N2 lymph nodes, and, most importantly, the potential cost to the patient in answering that question.

    Original languageEnglish (US)
    Pages (from-to)363-379
    Number of pages17
    JournalThoracic Surgery Clinics
    Volume18
    Issue number4
    DOIs
    StatePublished - Nov 2008

    Fingerprint

    Mediastinoscopy
    Thoracoscopy
    Lymph Nodes
    Needle Biopsy
    Biopsy
    Lymph Node Excision
    Morbidity
    Costs and Cost Analysis
    Neoplasms

    ASJC Scopus subject areas

    • Pulmonary and Respiratory Medicine
    • Surgery

    Cite this

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    abstract = "Multiple methods of minimally invasive evaluation of the N2 lymph nodes have been developed in hope of providing information similar to that obtained by a lymph node dissection, but with less morbidity. This article details four minimally invasive procedures: endobronchial ultrasound and needle biopsy, endoscopic transesophageal ultrasound and needle biopsy, cervical mediastinoscopy and biopsy, and thoracoscopy and biopsy. It discusses the lymph nodes that can be evaluated by these procedures, the limitations of the procedures, additional information the procedures can yield beyond lymph node staging, the procedures' reliability in determining whether cancer is present in the N2 lymph nodes, and, most importantly, the potential cost to the patient in answering that question.",
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