Insight into the differences in classification of mediastinal and hilar lymph nodes between Wang’s lymph node map and the International Association for the Study of Lung Cancer lymph node map
Insight into the differences in classification of mediastinal and hilar lymph nodes between Wang’s lymph node map and the International Association for the Study of Lung Cancer lymph node map
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深入探讨Wang氏淋巴结图与国际肺癌研究协会淋巴结图纵隔和肺门淋巴结分类的差异
DOI：
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发表时间：
2015
影响因子：
2.5
通讯作者：
Su-Qin Ben
中科院分区：
文献类型：
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作者：
Ya-Qing Li;Ko-Pen Wang;Su-Qin Ben
肺癌是全世界与恶性肿瘤相关的发病率和死亡率的主要原因。近30年来，经纤维支气管镜针吸活检(TBNA)已成为诊断和分期肺癌的有效方法。了解纵隔和肺门淋巴结的解剖结构对于提高TBNA的成功率是至关重要的。Wang的淋巴结图是基于美国胸科学会(ATS)的淋巴结图和TBNA技术；它于1994年发表，促进了常规TBNA(CTBNA)和经支气管镜下超声引导下经支气管针吸(EBUS-TBNA)的发展。2009年，国际肺癌研究协会(IASLC)开发了一种新的胸部淋巴结图，以协调Naruke和Mountain-Dresler(MD)-ATS淋巴结图的差异。IASLC淋巴结图被纳入第七版肺癌肿瘤、淋巴结、转移(TNM)分期系统，直接影响肺癌的治疗和预后。Wang‘s淋巴结图和IASLC淋巴结图在TNM分期上存在显著差异，了解这些差异，并将这些差异与cTBNA或EBUS-TBNA用于肺癌的预后和分期相关联是非常必要的。
Lung cancer is the leading cause of malignant-tumor-related morbidity and mortality worldwide. Transbronchial needle aspiration (TBNA) has for the past 30 years been an effective technique for the diagnosis and staging of lung cancer. Understanding the anatomy of mediastinal and hilar lymph nodes is essential to improve the yield of TBNA. Wang’s lymph node map is based on the lymph node map of the American Thoracic Society (ATS), and on the TBNA technique; it was published in 1994, and has promoted the development of both conventional TBNA (cTBNA) and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). In 2009, the International Association for the Study of Lung Cancer (IASLC) developed a new chest lymph node map to reconcile the differences between the Naruke and The Mountain-Dresler (MD)-ATS lymph node maps. The IASLC lymph node map was incorporated into the seventh edition of the tumor, node, metastasis (TNM) staging system for lung cancer, which directly affected the treatment and prognosis of lung cancer. There are significant differences between Wang’s lymph node map and the IASLC lymph node map in TNM staging, and it is imperative to understand these differences and correlate these maps for the prognosis and staging of lung cancer using cTBNA or EBUS-TBNA..