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Lung - Cancer

February 2, 2015
This study propensity-score matched patients from a cohort who underwent resection for stage I or II lung cancer and compared 175 pairs who underwent VATS or open lobectomy.  The VATS group experienced shorter hospital length of stay, fewer complications, and more frequent discharge to home.  Survival was similar.
January 29, 2015
This meta-analysis of 6 prior publications analyzed factors associated with outcomes after resection of synchronous lung cancers.  Favorable predictors of survival were exclusive adenocarcinoma, small T size, bilateral disease, no nodal involvement, young age, and female sex.
January 29, 2015
There is growing recognition of the utility of EBUS in staging NSCLC.  In this study EBUS and mediastinoscopy were performed in 127 patients requiring mediastinal staging for clinical N1-3 NSCLC.  The authors found that EBUS had superior accuracy (93% vs 89%) and negative predictive value (85% vs 79%). 
January 29, 2015
This analysis of nearly 40,000 patients with inoperable early stage lung cancer explored factors associated with delivery of potentially curative conventional radiotherapy (ConvRT) or SBRT.  Treatment was less likely in blacks and hispanics.  SBRT was more likely than ConvRT in high volume and academic centers.  Overall use of SBRT, ConvRT, and no tr
January 20, 2015
This video depicts a minimal invasive approach for the surgical resection of a large superior sulcus tumor that involves the secend rib and T1 nerve root.
January 15, 2015
Filmed at the 2014 STS Annual Meeting in Orlando, Florida, this roundtable discussion focuses on mediastinal staging for non-small cell lung cancer. Frank Detterbeck moderates this discussion with Moishe Liberman and Luis Herrera.
December 10, 2014
This interesting article summarizes the evidence from clinical, radiologic and pathologic investigations that lung cancer, specifically adenocarcinoma, may metastasize through the airways, defined as discontinuous spread of cancer cells from the primary tumor through the airways to adjacent or distant lung parenchyma.
December 6, 2014
A hot topic at the recent meeting of the RSNA (Radiological Society of North America) was the implementation of LungRADS, a scoring system for categorizing lesions on CT, to be utilitized as part of CT screening for lung cancer.  Scans are assigned to one of 5 categories, ranging from incomplete to 4A (suspicious, follow-up or further testing warrant
December 3, 2014
This study explored recent patterns of surveillance imaging 4-8 mos after surgical treatment of early stage lung cancer using the SEER database.  Initial imaging consisted of CXR (60%), CT (25%) and PET (3%).  13% of patients received no imaging.  NCCN guidelines adherence for receipt of CT was 47%, but increased from 28% to 60% over the period of st
December 1, 2014
This video demonstrates a technique for a right video-assisted pneumonectomy.

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