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Metastatic pathways to the lower zone by segment in patients with clinical T1 lower lobe non-small cell lung cancer

General Thoracic and Cardiovascular Surgery(2024)

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Abstract
Segmentectomy and mediastinal lymph node dissection (LND) may increasingly be used for non-small cell lung cancer (NSCLC). Lymph node metastasis (LNM) distribution varies by lower lobe segments; however, its segment-specific spread to the lower zone (#8, 9) (LZ) in lower lobe NSCLC is seldom reported. In total, 352 patients with clinical T1 lower lobe NSCLC who underwent lobectomy with systematic or lobe-specific LND were included for analysis between January 2006 and December 2018. Fifty-eight (16.2
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Key words
Non-small cell lung cancer,Mediastinal lymph node dissection,Lymph node metastasis
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