Онкология THE IMPACT OF THE IPSILATERAL BRONCHOPULMONARY LYMPH NODE DISSECTION ON THE SURVIVAL IN SQUAMOUS CELL LUNG CANCER
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THE IMPACT OF THE IPSILATERAL BRONCHOPULMONARY LYMPH NODE DISSECTION ON THE SURVIVAL IN SQUAMOUS CELL LUNG CANCER

A.F. Gilmetdinov1, V.P. Potanin2

1 Regional Emergency Medical Center, Naberezhnye Chelny

2 Tatarstan Cancer Center, Kazan

 

 

Gilmetdinov A.F. — oncologist of Regional Emergency Medical Center

18 Naberezhnochelninsky Pr., Naberezhnye Chelny, Russian Federation, 423803, tel. (8552) 30-49-10, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

 

 

Abstract. The lymphatic drainage way is not limited just by mediastinal direction, that is demonstrated by a number of studies, showing sometimes unpredictable lymphogenous metastasis in lung cancer. By the time the literature does not cover the issue of metastasis of lung cancer in the ipsilateral bronchopulmonary lymph nodes (11th lymph node group), and in the course of surgical treatment of lung cancer bronchopulmonary lymph nodes of the remaining lobes, in case there are no macroscopic changes, are usually not subject to biopsy or dissection. However, there is the possibility of micrometastasizing, which can result in further development of the disease caused by these lymph node groups’ failure. We analyzed the patients’ survival with squamous cell lung cancer depending on the volume of the operation and the fact of ipsililateral bronchopulmonary lymph node dissection. The best results were obtained after pneumonectomy, with a central form, which is associated with dissection of affected ipsilateral bronchopulmonary lymph nodes. These results prove the necessity of ipsilateral bronchopulmonary lymph nodes biopsy or dissection.

Key words: squamous cell lung cancer, ipsilateral bronchopulmonary lymph nodes, lymph node dissection.





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