© 2004 BMJ Publishing Group Ltd & British Thoracic Society
EDITORIAL
Lung cancer staging
Endoscopic (oesophageal) ultrasound guided fine needle aspiration (EUS-FNA)
1 Department of Respiratory Medicine, Nottingham City Hospital, Nottingham NG5 1PB, UK
2 Thoracic Oncology Unit, Department of Respiratory Medicine, Glenfield Hospital, Leicester, UK
Correspondence to:
Correspondence to:
Dr M D Peake
Thoracic Oncology Unit, Department of Respiratory Medicine, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK; mick.peake@uhl-tr.nhs.uk
A new tool in lung cancer staging
Keywords: endoscopic ultrasonography; lung cancer; staging
| The first 150 words of the full text of this article appear below. |
The management of lung cancer depends to a great extent on its histological type and the stage of disease. Although most patients with non-small cell lung cancer (NSCLC) have advanced disease at presentation, approximately 30% have tumour confined to the lung and locoregional lymph nodes. For these patients surgery offers the best hope of a cure. Despite apparent complete resection, 5 year survival rates after surgery are approximately 40–50%.1 This highlights the importance of accurately staging lung cancer to determine resectability and provide prognostic information.
In clinical practice a presumptive diagnosis and stage are based on presentation, risk factors, and radiological appearances—particularly CT scans. Obtaining a histological diagnosis and confirming the stage of the disease often take place at the same time. One of the most difficult tasks is accurate staging of nodal involvement in the mediastinum.
It is reported that mediastinal lymph nodes contain metastatic disease
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This article has been cited by other articles:
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Lennon, A. M., Penman, I. D.
(2007). Endoscopic ultrasound in cancer staging. Br Med Bull
0: ldm033v1-18
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