M Zieliński, MD, R Rami-Porta, MD  Journal of Thoracic Oncology 

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Presentation transcript:

Proposals for Changes in the Mountain and Dresler Mediastinal and Pulmonary Lymph Node Map  M Zieliński, MD, R Rami-Porta, MD  Journal of Thoracic Oncology  Volume 2, Issue 1, Pages 3-6 (January 2007) DOI: 10.1097/JTO.0b013e31802bff98 Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 The position of the confluence of both innominate veins lies much below the horizontal line, which is a border of station 1 nodes according to the Mountain-Dresler map. Journal of Thoracic Oncology 2007 2, 3-6DOI: (10.1097/JTO.0b013e31802bff98) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 The left innominate vein may run below the upper margin of the aortic arch. Journal of Thoracic Oncology 2007 2, 3-6DOI: (10.1097/JTO.0b013e31802bff98) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3 Cross-section of the mediastinum illustrating the relation between right and left paratracheal nodes. Journal of Thoracic Oncology 2007 2, 3-6DOI: (10.1097/JTO.0b013e31802bff98) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 4 Proposal for changes of the lower border of station 4L (it should be located at the inner margin of the aortic arch) and station 10L (it should extend between the inner margin of the aortic arch and the first branch of the left pulmonary artery). Journal of Thoracic Oncology 2007 2, 3-6DOI: (10.1097/JTO.0b013e31802bff98) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 5 The nodes located between the descending aorta, the left main bronchus, the esophagus, and the left pulmonary artery should be regarded as station 10L nodes instead of station 4L nodes, according to the M-D map. Journal of Thoracic Oncology 2007 2, 3-6DOI: (10.1097/JTO.0b013e31802bff98) Copyright © 2007 International Association for the Study of Lung Cancer Terms and Conditions