Post on 24-Jan-2020
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
MEDIASTINAL LYMPH NODE ANATOMY
KONSTANTINOU ELEFTHERIA
PULMONOLOGIST
PULMONOLOGY CLINIC
INTERBALKAN EUROPEAN MEDICAL CENTER
IASLC International Association for the Study of Lung Cancer Mediastinal lymph nodes
NODAL ZONES NODAL STATIONS
SUPRACLAVICULAR ZONE(highest mediastinal nodes)
1. Low cervical, supraclavicular & sternal notch
UPPER ZONE(superior mediastinal nodes)
2. Upper Paratracheal3. Prevascular & retrotracheal4. Lower paratracheal
AORTOPULMONARY ZONE(aortic nodes)
5. Subaortic (AP window)6. Paraaortic
SUBCARINAL ZONE(inferior mediastinal nodes)
7. Subcarinal
LOWER ZONE(inferior mediastinal nodes)
8. Paraesophageal9. Pulmonary ligament
HILAR/INTRALOBAR ZONE 10. Hilar11. Interlobar
PERIPHERAL ZONE 12. Lobar13. Segmental14. Subsegmental
N2 nodes
N1 nodes
N3 nodes
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
IASLC International Association for the Study of Lung CancerNodal Chart
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
1. Supraclavicular2. Upper Paratracheal3. Prevascular &
retrotracheal4. Lower paratracheal
5. Subaortic (AP window)6. Paraaortic
7. Subcarinal
8. Paraesophageal9. Pulmonary ligament
10. Hilar11. Interlobar
12. Lobar13. Segmental14. Subsegmental
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
Nodal station 3 : Prevascular & retrotracheal
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
1. Supraclavicular2. Upper Paratracheal3. Prevascular &
retrotracheal4. Lower paratracheal
5. Subaortic (AP window)6. Paraaortic
7. Subcarinal
8. Paraesophageal9. Pulmonary ligament
10. Hilar11. Interlobar
12. Lobar13. Segmental14. Subsegmental
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
Διαχωριστική ζώνη για δε & αρ ΟΧΙ η μέση γραμμή, ΑΛΛΑ το αρ πλάγιο όριο της τραχείας!
MEDIASTINAL LYMPH NODES
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
TNM classification1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
TNM classification for lymph nodes
http://staginglungcancer.org
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
N REGIONAL LYMPH NODE
N0 No regional lymph node metastasis
N1 Metastasis in ipsilateral pulmonary or hilar lymph nodes
N2 Metastasis in ipsilateral mediastinal/subcarinal lymph nodes
N3 Metastasis in contralateral mediastinal/hilar or metastasis in ipsilateral or contralateral supraclavicular lymph nodes
STAGING
https://www.iaslc.org/publications/patient-resource-lung-cancer-guide
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
STAGING
https://www.iaslc.org/publications/patient-resource-lung-cancer-guide
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
Pulmonary lymphatic system1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
Pulmonary lymphatic system
Pulmonary lymphatic system1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
EBUS-TBNA AND MEDIASTINOSCOPY
1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”
1. Supraclavicular2. Upper Paratracheal3. Prevascular &
retrotracheal4. Lower paratracheal
5. Subaortic (AP window)6. Paraaortic
7. Subcarinal
8. Paraesophageal9. Pulmonary ligament
10. Hilar11. Interlobar
12. Lobar13. Segmental14. Subsegmental