Utilization of the International Association for the Study of Lung Cancer and Wang's nodal map for the identification of mediastinum and hilar lymph nodes.
Utilization of the International Association for the Study of Lung Cancer and Wang's nodal map for the identification of mediastinum and hilar lymph nodes.
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DOI：
10.1111/1759-7714.12206
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发表时间：
2015-07
期刊：
影响因子：
2.9
通讯作者：
Wang KP
中科院分区：
文献类型：
--
作者：
Xia Y;Ma Y;Arias S;Lee H;Wang KP
经纤维支气管镜针吸活检(TBNA)作为一种极具价值的微创技术，已广泛应用于纵隔腺病和肿块的诊断和分期。到目前为止，国际肺癌研究协会(IASLC)和Wang的结节图是两个有充分证据的胸腔内淋巴结指南。我们描述了IASLC和Wang的地图，并逐个站地解释了两张地图的相关性。IASLC MAP的关键作用是确定肺癌肿瘤淋巴结转移(TNM)分期系统中的N个描述符，而Wang的MAP用于辅助支气管镜医生在TBNA检查中定位活检部位。此外，王氏地图中的1、3和5站相当于IASLC系统中的4R站，而王氏地图中的4和6站将IASLC 4L站相当于N2站。此外，在IASLC的地图上，王氏站2、8和10与第7站相关，王氏站7和9负责11R站。考虑到它们独特的优点和局限性，以及两个图谱之间的实际联系，强调它们的互补利用对TBNA表现和肺癌分期的重要性似乎是合理的。
Transbronchial needle aspiration (TBNA), serving as a remarkably invaluable and minimally invasive technique, has been widely used for the diagnosis and staging of mediastinal adenopathy and masses. To date, the International Association for the Study of Lung Cancer (IASLC) and Wang's nodal map are two well-documented intrathoracic lymph node guidelines for the TBNA procedure. We characterized IASLC's and Wang's map, and interpreted the correlation of the two maps station by station. The pivotal role of IASLC map is to determine N descriptor in the tumor node metastasis (TNM) staging system of lung cancer, whilst Wang's map is employed to facilitate the localization of biopsy sites for bronchoscopists during TBNA performance. Furthermore, stations 1, 3 and 5 in Wang’ map are equivalent to 4R station in IASLC’ system, while stations 4 and 6 in Wang's account for IASLC station 4L as N2 stations. In addition, Wang's stations 2, 8 and 10 are correlated with station 7 in IASLC's. Wang's stations 7 and 9 are responsible for station 11R in IASLC's map. Given their unique benefits and limitations, and the practical links between the two maps, it appears reasonable to highlight the significance of their complementary utilization upon TBNA performance and lung cancer staging.