Surgical Techniques in the Diagnosis of Lung Cancer

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Surgical Techniques in the Diagnosis of Lung Cancer G.A. Patterson, M.D. F.C.C.P.  CHEST  Volume 100, Issue 2, Pages 523-526 (August 1991) DOI: 10.1378/chest.100.2.523 Copyright © 1991 The American College of Chest Physicians Terms and Conditions

FIGURE 1 American Thoracic Society node map in routine use for staging bronchogenic cancer. Locations of node samples can be accurately determined. CHEST 1991 100, 523-526DOI: (10.1378/chest.100.2.523) Copyright © 1991 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Transverse suprasternal notch incision and dissection through midline structures reveals the anterior wall of the trachea (inset). CHEST 1991 100, 523-526DOI: (10.1378/chest.100.2.523) Copyright © 1991 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Blunt dissection along the anterior wall and both lateral walls of the trachea can be accomplished well below the upper aspect of the aortic arch in most patients. Enlarged or fixed paratracheal nodes can usually be readily palpated. CHEST 1991 100, 523-526DOI: (10.1378/chest.100.2.523) Copyright © 1991 The American College of Chest Physicians Terms and Conditions

FIGURE 4 Metal suction cannula passed through the mediastinoscope enables thorough dissection of all accessible node groups. CHEST 1991 100, 523-526DOI: (10.1378/chest.100.2.523) Copyright © 1991 The American College of Chest Physicians Terms and Conditions

FICURE 5 Blunt biopsy forceps is employed to sample nodes from stations 2, 4, 7, and 10, as well as those nodes in locations 5 and 6 (inset). CHEST 1991 100, 523-526DOI: (10.1378/chest.100.2.523) Copyright © 1991 The American College of Chest Physicians Terms and Conditions