The role of mediastinoscopy in the staging of lung cancer

Ilgaz Doğusoy, Hatice Coşğun Demirbağ, Hakan İlter, Mehmet Yıldırım, Murat Yaşaroğlu, Oya İmamoğlu, Bülent Aydemir, Gökhan Güneren

Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul

Background: In this study, patients who were diagnosed as lung cancer and underwent mediastinoscopy for lung cancer staging were reviewed retrospectively. and the role of medastinoscopy in staging of tumor was evaluated.

Methods: Between September 2001 and May 2006, 95 patients (64 males, 31 females) underwent standard cervical mediastinoscopy for lung cancer staging in our clinic.

Results: Fifty-two patients (%54) were staged as negative for mediastinal lymph nodes, 35 patients (%36) as N₂, eight patients (%10) as N₃. Patients who were not diagnosed as N₂ or N₃ disease with mediastinoscopy underwent pulmonary resection and mediastinal lymph node dissection via thoracotomy.

Conclusion: Although mediastinoscopy is an invasive procedure, it is highly accurate and easy to perform with minimal mortality and morbidity rates, therefore, it is still the gold standard for lung cancer staging.

Keywords : Lung neoplasms mediastinoscopy; neoplasm staging

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