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Thorac Cardiovasc Surg 2012; 60(06): 421-424
DOI: 10.1055/s-0030-1271043
Case Reports
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Sentinel Node Microscopic Metastasis Detected after Segmentectomy for Lung Cancer Followed by Completion Lobectomy: Two Case Reports

T. Fukutomi
1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
,
M. Kohno
1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
,
Y. Izumi
1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
,
Y. Hayashi
2   Department of Pathology, School of Medicine, Keio University, Tokyo, Japan
,
T. Nakahara
3   Department of Radiology, School of Medicine, Keio University, Tokyo, Japan
,
H. Nomori
1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
› Author Affiliations
Further Information

Publication History

03 February 2011
25 February 2011

14 March 2011

Publication Date:
12 May 2011 (online)

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Abstract

We performed sentinel node identification using radioisotopic and/or dye techniques to determine the final indication after segmentectomy in cases with non-small cell lung cancer. Sentinel nodes were examined using intraoperative frozen sections stained with hematoxylin and eosin. We present 2 cases with completion lobectomy performed 7 and 11 days after segmentectomy because immunohistochemical staining of the sentinel nodes showed the presence of microscopic metastases that were not detected by the examination of intraoperative frozen sections.

Keywords

lung cancer treatment (surgery, medical) - lung cancer - diagnosis (includes staging, imaging, fiducials) - metastases - non-small cell lung cancer - sentinel node - segmentectomy - micrometastasis
 

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