淋巴结转移在2厘米或更小的非小细胞肺癌中的模式和危险因素
Xianglong Pan1, Wenzheng Xu1, Zhihua Li1
1Department of Thoracic Surgery, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Journal of thoracic disease
|February 9, 2026
概括
对于2厘米以下的早期非小细胞肺癌 (NSCLC),淋巴结转移的风险因素包括瘤大小,外观和叶片位置. 选择性淋巴结剖析可以根据这些因素考虑.
科学领域:
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 通过CT查增加早期非小细胞肺癌 (NSCLC) ≤2厘米的检测.
- 对于这些小瘤的淋巴结 (LN) 剖析的最佳程度存在争议.
- 需要基于转移模式和风险因素的精确LN管理策略.
研究的目的:
- 调查NSCLC ≤2厘米中LN转移的模式和风险因素.
- 为指导早期肺癌的个性化手术管理.
- 根据瘤特征优化淋巴结解剖程度.
主要方法:
- 对1878名临床N0NSCLC≤2厘米的患者进行了回顾性分析.
- 手术切除与适当的LN剖析.
- 单变量和多变量逻辑回归以确定LN转移风险因素.
主要成果:
- 整体LN转移率为5.6%.
- 瘤大小≥1厘米,纯固体外观,≥10个LNs被切除,状腺癌和胸腔侵袭是独立的危险因素.
- 在小于1厘米的瘤或纯地玻璃不透明 (GGO) 结节中没有观察到LN转移.
结论:
- 对于NSCLC ≤2厘米,建议进行叶片特异性LN剖析.
- 考虑第7站剖析上叶瘤≥1厘米,纯固体外观.
- 对于纯GGO结节或瘤≤1厘米,可以省略LN剖析.
相关概念视频
Factors Affecting the Risk of Infection
13.7K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.7K
Detailed Structure and Function of Lymph Nodes
4.9K
Lymph nodes are bean-shaped structures that cluster along the lymphatic vessels in the inguinal, axillary, and cervical regions. Each node is divided into compartments by a capsule that extends trabeculae inward.
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
4.9K
Metastasis
6.6K
Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
6.6K
Relative Risk
2.2K
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
2.2K
Lung Capacity
56.4K
The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
56.4K
Transcription Factors
82.8K
Tissue-specific transcription factors contribute to diverse cellular functions in mammals. For example, the gene for beta globin, a major component of hemoglobin, is present in all cells of the body. However, it is only expressed in red blood cells because the transcription factors that can bind to the promoter sequences of the beta globin gene are only expressed in these cells. Tissue-specific transcription factors also ensure that mutations in these factors may impair only the function of...
82.8K


