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ORIGINAL ARTICLE Use of a Surgical Specimen-Collection Kit to Improve Mediastinal Lymph-Node Examination of Resectable Lung Cancer Raymond U. Osarogiagbon, MBBS, FACP,*† Laura E. Miller, MD,† Robert A. Ramirez, DO,*† Christopher G. Wang, MD,† Thomas F. O’Brien, MD,‡ Xinhua Yu, MD, PhD,§ Alim Khandekar, MD,|| Glenn P. Schoettle, MD,|| Samuel G. Robbins, MD,¶ Edward T. Robbins, MD,# and Jeffrey B. Gibson, MD¶ and showed a trend toward increased detection of patients with MLN Introduction: Pathologic examination of mediastinal lymph nodes metastasis, with only a modest increase in duration of surgery, and no (MLNs) after resection of non–small-cell lung cancer is critical in increase in perioperative morbidity, mortality, or hospital length of stay. the determination of prognosis and postoperative management. Although systematic nodal dissection is recommended, the quality of Key Words: Staging, Non–small-cell lung cancer, Mediastinal pathologic lymph-node staging often falls short of recommendations lymph nodes, Quality improvement, Surgical resection. in practice. We tested the feasibility of improving pathologic lymph- (J Thorac Oncol. 2012;7: 1276–1282) node staging of resectable non–small-cell lung cancer by using a pre- labeled specimen-collection kit. Methods: Case-control study with comparison of 51 resections, using a special lymph-node collection kit, with 51 controls matched for urgical resection
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Aug 1, 2012
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