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

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

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

4. 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  , DOI: ( /chest )
Copyright © 1991 The American College of Chest Physicians Terms and Conditions

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

6. 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  , DOI: ( /chest )
Copyright © 1991 The American College of Chest Physicians Terms and Conditions