Lung Cancer Staging

Anatomic staging is a critical step in evaluation of patients with lung cancer. Accurate identification of stage based on features of primary tumor (T), regional nodes (N), and metastatic disease (M) is fundamental to determining appropriate care. In this article, the TNM components of the anatomic...

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Bibliographic Details
Published inClinics in chest medicine Vol. 41; no. 2; p. 161
Main Author Tanoue, Lynn T
Format Journal Article
LanguageEnglish
Published United States 01.06.2020
Subjects
Lung cancer staging
Lymph node staging
TNM descriptors
Oligometastatic disease
Lung cancer
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Summary:Anatomic staging is a critical step in evaluation of patients with lung cancer. Accurate identification of stage based on features of primary tumor (T), regional nodes (N), and metastatic disease (M) is fundamental to determining appropriate care. In this article, the TNM components of the anatomic staging system and a framework for description of lung cancer with multiple pulmonary sites of involvement are discussed. TNM combinations are grouped according to prognosis, with patient-level, tumor-level, and environment-level factors also influencing survival outcomes. Although the staging system does not include molecular and immunologic information, anatomic staging remains the common language for communicating extent of disease.
ISSN:1557-8216
DOI:10.1016/j.ccm.2020.02.006