Pattern of Metastasis Outside Tumor-Bearing Segments in Primary Lung Cancer: Rationale for Segmentectomy Yuichi Sakairi, MD, PhD, Ichiro Yoshino, MD,

Slides:

Advertisements

Similar presentations

Results of Initial Operations in Non–Small Cell Lung Cancer Patients With Single-Level N2 Disease Yasuhiko Ohta, MD, Yosuke Shimizu, MD, Hiroshi Minato,

Advertisements

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

Impact of free tumor clusters on prognosis after resection of pulmonary adenocarcinoma Junichi Morimoto, MD, PhD, Takahiro Nakajima, MD, PhD, Hidemi.

Complete Thoracic Mediastinal Lymphadenectomy Leads to a Higher Rate of Pathologically Proven N2 Disease in Patients With Non-Small Cell Lung Cancer

Long-Term Survival of Patients With pN2 Lung Cancer According to the Pattern of Lymphatic Spread Antoine Legras, MD, Pierre Mordant, MD, PhD, Alex Arame,

Rodrigo A. S. Sardenberg, MD, Clovis Pinto, MD, Cynthia A

Missed Intrapulmonary Lymph Node Metastasis and Survival After Resection of Non- Small Cell Lung Cancer Matthew P. Smeltzer, PhD, Nicholas Faris, MDiv,

Collision Tumor of Esophagus: Report of Three Cases

Prediction of Prognosis and Surgical Indications for Pulmonary Metastasectomy From Colorectal Cancer Toshihiko Iizasa, MD, Makoto Suzuki, MD, Shigetoshi.

Oncologic Outcomes After Surgical Resection of Subcentimeter Non-Small Cell Lung Cancer Matthew J. Schuchert, MD, Arman Kilic, BS, Arjun Pennathur, MD,

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Clinical Prognosis of Superior Versus Basal Segment Stage I Non-Small Cell Lung Cancer Yoshinori Handa, MD, Yasuhiro Tsutani, MD, PhD, Norifumi Tsubokawa,

Andranik Petrosyan, MD, Patrice Bergeron, MD

Anthracotic Intrapulmonal Lymph Nodes Mimicking Lung Metastases

Sarcoid-Like Reaction Mimics Progression of Disease After Induction Chemotherapy for Lung Cancer Masayuki Chida, MD, PhD, Takashi Inoue, MD, Koichi Honma,

Effect of Perioperative Pirfenidone Treatment in Lung Cancer Patients With Idiopathic Pulmonary Fibrosis Takekazu Iwata, MD, PhD, Shigetoshi Yoshida,

Benjamin E. Lee, MD, Mark Shapiro, MD, John R. Rutledge, MAS, Robert J

Unexpected Small Bowel Intussusception Caused by Lung Cancer Metastasis on 18F- Fluorodeoxyglucose PET-CT Jeong Won Lee, MD, Seok-Ki Kim, MD, Ji Won Park,

Cyclooxygenase-2 Expression in Non-Small Cell Lung Cancer Correlates With Hypertrophic Osteoarthropathy Ioannis Rotas, Giovanni Cito, Igor Letovanec,

Prognostic Predictors in Non-Small Cell Lung Cancer Patients Undergoing Intentional Segmentectomy Terumoto Koike, MD, PhD, Teruaki Koike, MD, PhD, Yasushi.

Appraisal of a Revised Lymph Node Classification System for Esophageal Squamous Cell Cancer Dipok Kumar Dhar, PhD, Shinji Hattori, MD, Yasuhito Tonomoto,

Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H

Reply The Annals of Thoracic Surgery

Late Presentation of a Right Bochdalek Hernia With Intrathoracic Liver, Gallbladder, Intestines and Omentum With Right Lower Lobe Hypoplasia Mohammad.

Pleural Metastasis of Osteosarcoma

Ara Chrissian, MD, David Misselhorn, RRT, Alexander Chen, MD

Origins of the Cardiothoracic Surgery Network (CTSNet)

Clinicopathologic Features of Resected Subcentimeter Lung Cancer

Who Do You Say You Are? The Annals of Thoracic Surgery

Use of Amiodarone After Major Lung Resection

Salvage Operation in Case of Oligometastatic Disease

Unilateral Absence of the Left Pulmonary Artery Accompanied by Right Lung Cancer Masaoki Ito, MD, Yoshinori Yamashita, MD, PhD, Hiroaki Harada, MD, Ken-ichi.

Prognostic Significance of Surgical-Pathologic N1 Lymph Node Involvement in Non- Small Cell Lung Cancer Adalet Demir, MD, Akif Turna, MD, PhD, FETCS,

Christopher K. Mehta, MD, Colin T

Recurrence and Survival After Segmentectomy in Patients With Prior Lung Resection for Early-Stage Non-Small Cell Lung Cancer Lisa M. Brown, MD, Brian.

Accessory Liver Lobe in the Left Thoracic Cavity

Risk Factors for Developing Postthymectomy Myasthenia Gravis in Thymoma Patients Yoshito Yamada, MD, PhD, Shigetoshi Yoshida, MD, PhD, Takekazu Iwata,

The Role of Surgery in the Management of Primary Thymic Mucosa-associated Lymphoid Tissue (MALT) Lymphoma Kimihiro Shimizu, MD, PhD, Izumi Takeyoshi,

Postoperative Ischemic Bronchitis After Lymph Node Dissection and Primary Lung Cancer Resection Lotfi Benhamed, MD, Jocelyn Bellier, MD, Clément Fournier,

Superior and Basal Segment Lung Cancers in the Lower Lobe Have Different Lymph Node Metastatic Pathways and Prognosis Shun-ichi Watanabe, MD, Kenji Suzuki,

New Technique for Lung Segmentectomy Using Indocyanine Green Injection

En Bloc Upper and Lower Lobe Trisegmentectomy Facilitated by Displaced Segmental Airway Akifumi Nakamura, MD, Shun-ichi Watanabe, MD, Yukio Watanabe,

Alice Wang, MD, Thomas A. D'Amico, MD, Mark F. Berry, MD

Editorial Board, January 2010

Extensive Invasion of the Left Atrium by Lung Cancer

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Primary Pulmonary Rhabdomyosarcoma in an Adult With Neurofibromatosis-1 Jae-Sung Choi, MD, PhD, Jong Sun Choi, MD, PhD, Eung-Joong Kim, MD, PhD The Annals.

Distribution and Likelihood of Lymph Node Metastasis Based on the Lobar Location of Nonsmall-Cell Lung Cancer Robert J. Cerfolio, MD, Ayesha S. Bryant,

Endobronchial and Endoscopic Ultrasound-Guided Transvascular Biopsy of Mediastinal, Hilar, and Lung Lesions Jordan Kazakov, MD, Pravachan Hegde, MD,

Postoperative Pleural Effusion in Bronchioloalveolar Cancer

The Annals of Thoracic Surgery

The Annals of Thoracic Surgery

Brian M. Cardis, MD, Derek A. Fyfe, MD, PhD, William T. Mahle, MD

Koji Kawahito, MD, Hideo Adachi, MD The Annals of Thoracic Surgery

Nonintubated Thoracoscopic Anatomical Segmentectomy for Lung Tumors

Lymph Node Staging by Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration in Patients With Small Cell Lung Cancer Hironobu Wada, MD, Takahiro.

Transthoracic Esophagectomy Using Endobronchial Blocker After Previous Pneumonectomy Haifeng Wang, MD, Ji Liu, MD, Chao Jiang, MD, Ming Liu, MD, Gening.

Shared Decision Making and Effective Risk Communication in the High-Risk Patient With Operable Stage I Non-Small Cell Lung Cancer Pamela Samson, MD,

Prognostic Heterogeneity in Multilevel N2 Non-Small Cell Lung Cancer Patients: Importance of Lymphadenopathy and Occult Intrapulmonary Metastases Yukinori.

Invited Commentary The Annals of Thoracic Surgery

Neal S Goldstein, MD The Annals of Thoracic Surgery

Mediastinal lymph node dissection improves survival in patients with stages II and IIIa non-small cell lung cancer Steven M Keller, MD, Sudeshna Adak,

Atsushi Sano, MD, PhD, Takuma Yotsumoto, MD

Results of Initial Operations in Non–Small Cell Lung Cancer Patients With Single-Level N2 Disease Yasuhiko Ohta, MD, Yosuke Shimizu, MD, Hiroshi Minato,

Solitary Lung Metastasis Diagnosed 30 Years After Surgery for Thyroid Cancer Hisayuki Shigematsu, MD, Akio Andou, MD, Arubi Teramoto, MD, Kiyoshi Matsuo,

Mark I. Block, MD The Annals of Thoracic Surgery

Lobectomy Versus Limited Resection in T1N0 Lung Cancer

The Impact of New Technology on Cardiothoracic Surgical Practice

Clinicopathologic Factors Associated With Occult Lymph Node Metastasis in Patients With Clinically Diagnosed N0 Lung Adenocarcinoma Youngkyu Moon, MD,

Domenico Galetta, MD, PhD, Lorenzo Spaggiari, MD, PhD

Presentation transcript:

Pattern of Metastasis Outside Tumor-Bearing Segments in Primary Lung Cancer: Rationale for Segmentectomy Yuichi Sakairi, MD, PhD, Ichiro Yoshino, MD, PhD, Shigetoshi Yoshida, MD, PhD, Hidemi Suzuki, MD, PhD, Tetsuzo Tagawa, MD, PhD, Takekazu Iwata, MD, PhD, Teruaki Mizobuchi, MD, PhD The Annals of Thoracic Surgery Volume 97, Issue 5, Pages 1694-1700 (May 2014) DOI: 10.1016/j.athoracsur.2013.12.015 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Schema of hilar and lobar, and intrapulmonary nodes. Intrapulmonary nodes (stations 13 and 14) were divided into two groups: inside tumor-bearing segmental nodes (gray circles) and outside tumor-bearing segmental nodes (open circles), according to the harbored segment. Stations 10 to 12 were considered hilar and lobar nodes (cross-hatched circles.) The Annals of Thoracic Surgery 2014 97, 1694-1700DOI: (10.1016/j.athoracsur.2013.12.015) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Primary tumor location. Primary lesions were observed in the following lobes: 77 (32%) in the right upper lobe, 17 (7%) in the right middle lobe, 44 (18%) in the right lower lobe, 72 (30%) in the left upper lobe, and 34 (14%) in the left lower lobe. (S = segment.) The Annals of Thoracic Surgery 2014 97, 1694-1700DOI: (10.1016/j.athoracsur.2013.12.015) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Tumor spread pattern. The algorithm shows a cascade based on three tumor-spread processes: (1) extrapulmonary nodal metastasis, (2) intrapulmonary spread, and (3) metastasis outside tumor-bearing segments. The number of lesions that fulfill each condition are shown, from the top: total lesions (black numbers), peripheral lesions (green numbers), and 20 mm or less peripheral lesions (red numbers). The single patient with metastasis on the outside of the tumor-bearing segment without any hilar or mediastinal nodal metastasis is noted by an asterisk (*). The Annals of Thoracic Surgery 2014 97, 1694-1700DOI: (10.1016/j.athoracsur.2013.12.015) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions