1985
DOI: 10.1002/jso.2930290114
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Effectiveness of scalene node biopsy for staging of lung cancer in the absence of palpable adenopathy

Abstract: Scalene node biopsy (SNB) has been performed in patients with lung cancer at the Saint Francis Hospital and Medical Center if any of the following criteria has been present: (1) potentially resectable central lesion by chest radiograph, or (2) significant cardiac or pulmonary dysfunction, thereby placing the patient at increased risk for thoracotomy, or (3) a diagnosis of adenocarcinoma prior to SNB. Within these guidelines, a retrospective study was undertaken to determine the benefit of routine SNB in the ab… Show more

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Cited by 12 publications
(4 citation statements)
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“…While supraclavicular US-guided FNAB does not contribute much to staging in patients with stage IV, it seems valuable in terms of being a simple and less invasive method for diagnosis [14]. US-guided FNAB may rarely lead to some complications such as hemorrhage, infection, pneumothorax, lymph channel damage, air embolism, phrenic nerve damage, and recurrent laryngeal nerve damage [12,17,18]. No complications have been observed in studies involving US-guided FNAB of the supraclavicular region, suggesting US-guided FNAB as a safe method [5,11,13,19].…”
Section: Discussionmentioning
confidence: 99%
“…While supraclavicular US-guided FNAB does not contribute much to staging in patients with stage IV, it seems valuable in terms of being a simple and less invasive method for diagnosis [14]. US-guided FNAB may rarely lead to some complications such as hemorrhage, infection, pneumothorax, lymph channel damage, air embolism, phrenic nerve damage, and recurrent laryngeal nerve damage [12,17,18]. No complications have been observed in studies involving US-guided FNAB of the supraclavicular region, suggesting US-guided FNAB as a safe method [5,11,13,19].…”
Section: Discussionmentioning
confidence: 99%
“…However, CT scanning is limited by the fact that there is no magical lymph node size or morphologic criteria that may determine whether the node is involved with or free of tumor. Sometimes mediastinoscopic examination,18 parasternal mediasti-n~t o m y , '~,~~ or supraclavicular or scalene node bi-0psy9, 10,21,22 are needed to clarify the status of nodes in patients with lung cancer.…”
Section: Discussionmentioning
confidence: 99%
“…The suggestion for non-palpable supraclavicular lymph node surgical biopsy in patients with lung cancer varied. 2 6 11 In five patients who had non-palpable supraclavicular lymph node, we performed surgical biopsies and successfully made a diagnosis. Notably, one patient received a diagnosis as adenocarcinoma by supraclavicular lymph node excision biopsy, while the patient had been previously diagnosed as negative for malignancy by bronchoscopy.…”
Section: Discussionmentioning
confidence: 99%