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A Critique of the International Association for the Study of Lung Cancer Lymph Node Map A Radiation Oncology Perspective

A Critique of the International Association for the Study of Lung Cancer Lymph Node Map A... COMMENTARY A Critique of the International Association for the Study of Lung Cancer Lymph Node Map A Radiation Oncology Perspective Graham Pitson, MBBS, FRANZCR,* Rod Lynch, MBBS, FRANZCR,* Line Claude, MD,† and David Sarrut, PhD‡ ccurate assessment of nodal involvement is essential in location of the clavicle laterally varies depending on shoulder Athe management of lung cancer. Recently, the Interna- position and creates variability in outlines based on this tional Association for the Study of Lung Cancer (IASLC) border. In addition, the relative location of clavicle and lung Lung Cancer Staging Project published a new lymph node apex are also variable leading to potential uncertainty as to map with the aim of creating an internationally agreed frame- the relative borders between stations 1, 2, and 3 (Figure 1). work that would allow precise and uniform determination of As this is a distinction between N2 and N3 disease, clarity in lymph node status by centers around the globe. This new this definition is important. map contains important changes to the previously used Station 2 2 3 Mountain-Dresler and Naruke maps. The inferior border of 2R is now the intersection of the Conformal radiotherapy planning requires accurate de- caudal margin of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Thoracic Oncology Wolters Kluwer Health

A Critique of the International Association for the Study of Lung Cancer Lymph Node Map A Radiation Oncology Perspective

Sarrut, David
Journal of Thoracic Oncology , Volume 7 (3) – Mar 1, 2012
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References (15)

Copyright
Copyright © 2012 by the International Association for the Study of Lung Cancer
ISSN
1556-0864
DOI
10.1097/JTO.0b013e318249a9c6
pmid
22334008
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY A Critique of the International Association for the Study of Lung Cancer Lymph Node Map A Radiation Oncology Perspective Graham Pitson, MBBS, FRANZCR,* Rod Lynch, MBBS, FRANZCR,* Line Claude, MD,† and David Sarrut, PhD‡ ccurate assessment of nodal involvement is essential in location of the clavicle laterally varies depending on shoulder Athe management of lung cancer. Recently, the Interna- position and creates variability in outlines based on this tional Association for the Study of Lung Cancer (IASLC) border. In addition, the relative location of clavicle and lung Lung Cancer Staging Project published a new lymph node apex are also variable leading to potential uncertainty as to map with the aim of creating an internationally agreed frame- the relative borders between stations 1, 2, and 3 (Figure 1). work that would allow precise and uniform determination of As this is a distinction between N2 and N3 disease, clarity in lymph node status by centers around the globe. This new this definition is important. map contains important changes to the previously used Station 2 2 3 Mountain-Dresler and Naruke maps. The inferior border of 2R is now the intersection of the Conformal radiotherapy planning requires accurate de- caudal margin of

Journal

Journal of Thoracic Oncology – Wolters Kluwer Health

Published: Mar 1, 2012

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