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The IASLC Lung Cancer Staging Project: A Proposal for a New International Lymph Node Map in the Forthcoming Seventh Edition of the TNM Classification.

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Presentation on theme: "The IASLC Lung Cancer Staging Project: A Proposal for a New International Lymph Node Map in the Forthcoming Seventh Edition of the TNM Classification."— Presentation transcript:

1 The IASLC Lung Cancer Staging Project: A Proposal for a New International Lymph Node Map in the Forthcoming Seventh Edition of the TNM Classification for Lung Cancer  Valerie W. Rusch, MD, Hisao Asamura, MD, Hirokazu Watanabe, MD, Dorothy J. Giroux, MS, Ramon Rami-Porta, MD, Peter Goldstraw, MD  Journal of Thoracic Oncology  Volume 4, Issue 5, Pages (May 2009) DOI: /JTO.0b013e3181a0d82e Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

2 FIGURE 1 The Naruke lymph node map for the staging of lung cancers as recommended by the Japan Lung Cancer Society.6 Journal of Thoracic Oncology 2009 4, DOI: ( /JTO.0b013e3181a0d82e) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

3 FIGURE 2 The Mountain-Dresler modification of the lymph node map originally proposed by the American Thoracic Society.4 Journal of Thoracic Oncology 2009 4, DOI: ( /JTO.0b013e3181a0d82e) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

4 FIGURE 3 The International Association for the Study of Lung Cancer (IASLC) lymph node map, including the proposed grouping of lymph node stations into “zones” for the purposes of prognostic analyses. Journal of Thoracic Oncology 2009 4, DOI: ( /JTO.0b013e3181a0d82e) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

5 FIGURE 4 A–F: Illustrations of how the International Association for the Study of Lung Cancer (IASLC) lymph node map can be applied to clinical staging by computed tomography scan in axial (A–C), coronal (D), and sagittal (E, F) views. The border between the right and left paratracheal region is shown in A and B. Ao, aorta; AV, azygos vein; Br, bronchus; IA, innominate artery; IV, innominate vein; LA, ligamentum arteriosum; LIV, left innominate vein; LSA, left subclavian artery; PA, pulmonary artery; PV, pulmonary vein; RIV, right innominate vein; SVC, superior vena cava. Journal of Thoracic Oncology 2009 4, DOI: ( /JTO.0b013e3181a0d82e) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

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