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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Deep thymic region (N2) - Middle mediastinal and deep cervical nodes

Deep thymic region (N2) - Middle mediastinal and deep cervical nodes
Region boundaries Node groups[1,2] Node group boundaries
  • Superior: Level of lower border of cricoid cartilage
  • Anteromedial (neck): Lateral border of sternohyoid, medial border of carotid sheath
  • Posterolateral (neck): Anterior border of trapezius
  • Anterior (chest): Aortic arch, aortopulmonary window - anterior border of superior vena cava 
  • Posterior (chest): Esophagus
  • Lateral (chest): Pulmonary hila
  • Inferior: Diaphragm
Lower jugular
(AAO-HNS/ASHNS Level 4)
  • Superior: Level of lower border of cricoid cartilage
  • Anteromedial: Lateral border of sternohyoid
  • Posterolateral: Lateral border of sternocleidomastoid
  • Inferior: Clavicle
Supraclavicular/venous angle: Confluence of internal jugular and subclavian vein
(AAO-HNS/ASHNS Level 5b)
  • Superior: Level of lower border of cricoid cartilage
  • Anteromedial: Posterior border of sternocleidomastoid
  • Posterolateral: Anterior border of trapezius
  • Inferior: Clavicle
Internal mammary nodes
  • Proximity to internal mammary arteries
Upper paratracheal
(IASLC Level 2)
  • Superior: Superior border of manubrium, apices of lungs
  • Inferior: Intersection of lower border of innominate vein with trachea; superior border of aortic arch
Lower paratracheal
(IASLC Level 4)
  • Superior: Intersection of lower border of innominate vein with trachea; superior border of aortic arch
  • Inferior: Lower border of azygos vein, superior border of left main pulmonary artery
Subaortic/aortopulmonary window
(IASLC Level 5)
  • Superior: Inferior border of aortic arch
  • Inferior: Superior border of left main pulmonary artery
Subcarinal
(IASLC Level 7)
  • Superior: Carina
  • Inferior: Upper border of lower lobe bronchus on the left; lower border of the bronchus intermedius on the right
Hilar
(IASLC Level 10)
  • Superior: Lower rim of azygos vein on right, upper rim of pulmonary artery on left
  • Inferior: Interlobar region bilaterally
Region and node group boundaries adapted directly from definitions established by AAO-HNS, ASHNS, and IASLC.
AAO-HNS: American Academy of Otolaryngology-Head and Neck Surgery; ASHNS: American Society for Head and Neck Surgery; IASLC: International Association for the Study of Lung Cancer.
References:
  1. Rusch VW, Asamura H, Watanabe H, et al. The IASLC lung cancer staging project: a proposal for a new international lymph node map in the forthcoming seventh edition of the TNM classification for lung cancer. J Thorac Oncol 2009; 4:568.
  2. Robbins KT, Clayman G, Levine PA, et al. Neck Dissection Classification Update: Revisions Proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg 2002; 128:751.
Reproduced from: Bhora FY, Chen DJ, Detterbeck FC, et al. The ITMIG/IASLC Thymic Epithelial Tumors Staging Project: A Proposed Lymph Node Map for Thymic Epithelial Tumors in the Forthcoming 8th Edition of the TNM Classification of Malignant Tumors. J Thorac Oncol 2014; 9:S88. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 122374 Version 1.0

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