ArticleThe Journal of thoracic and cardiovascular surgery2018
Validity of the updated European Society of Thoracic Surgeons staging guideline in lung cancer patients.
Article in The Journal of thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed.
- Post-operative outcomes of lung resection after perioperative chemoimmunotherapy for stage IIB-IIIB non-small-cell lung cancer in the elderly: a single center real-life experience.Journal of thoracic disease · 2026Article
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- 2.5D deep learning radiomics and clinical data for predicting occult lymph node metastasis in lung adenocarcinoma.BMC medical imaging · 2025Article
- Article
- Intratumoral lymph vessel invasion as a predictive risk factor for nodal metastasis in non-small cell lung cancer: should L-1 status obligate adjuvant chemotherapy?Journal of thoracic disease · 2019Article
- Cervical mediastinoscopy and video-assisted mediastinoscopic lymphadenectomy for the staging of non-small cell lung cancer.Mediastinum (Hong Kong, China) · 2019Review
- Present indications of surgical exploration of the mediastinum.Journal of thoracic disease · 2018Review
- ESTS staging guidelines for non-small cell lung cancer: a good guide to best ever accuracy and high survival rate.Journal of thoracic disease · 2018Article
- Validating guideline concordant care in lung cancer also validates good surgical judgement and skill.Journal of thoracic disease · 2018Article
- A Spanish thoracic surgeon visits China-reflections on the surgical treatment of lung cancer.Journal of thoracic disease · 2018Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveThe European Society of Thoracic Surgeons (ESTS) has proposed a revised preoperative lymph node staging guideline for patients with potentially resectable non-small cell lung cancer (NSCLC). We aimed to assess the validity of this revised ESTS guideline and survival results in our patient cohort.
methodsA total of 571 patients with potentially resectable NSCLC seen between January 2004 and November 2013 were included in the study. The preoperative mediastinal staging was performed by video-assisted cervical mediastinoscopy or video-assisted mediastinoscopic lymphadenectomy in all patients except those with peripheral cT1N0 nonadenocarcinoma tumors. Resection via thoracotomy or video-assisted thoracoscopic surgery was done in patients with no mediastinal lymph node metastasis. Surgical pathological results were compared with the ESTS staging guideline, and the validity of the guideline was tested.
resultsIn this series, mediastinal lymph node metastasis was revealed preoperatively in 266 patients (46.6%). A total of 305 patients underwent anatomic lung resection. The sensitivity, specificity, positive and negative predictive values, and accuracy of the guidelines were calculated as 95.0%, 100%, 100%, 94.6%, and 97.2%, respectively.
conclusionsThe ESTS revised preoperative lymph node staging guidelines for patients with NSCLC seem to be effective and valid, and may provide high survival following resectional surgery.
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