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Endoscopy 2006; 38: 80-83
DOI: 10.1055/s-2006-946662
Invited papers
Mediastinal EUS
© Georg Thieme Verlag KG Stuttgart · New York

Competition for EUS (a) EBUS-TBNA (b) video assisted thoracoscopy

A. M. Lennon1 , R. C. Rintoul2 , I. D. Penman1
  • 1Western General Hospital, Edinburgh, UK
  • 2Papworth Hospital, Cambridge, UK
Further Information

Publication History

Publication Date:
26 June 2006 (online)

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Introduction

Mediastinal lymph node enlargement occurs in up to 38 % of NSCLC at diagnosis [1]. The identification of cancer spread to the mediastinum, either as direct tumour invasion or as lymph node metastases, is critical as this not only determines prognosis but also treatment options. Stage I and II disease, where there is no evidence of spread outside the lung, is treated by surgical resection, while patients with low volume ipsilateral mediastinal lymph node metastases (stage IIIA) may be offered induction chemotherapy followed by resection. Chemotherapy/radiotherapy alone is reserved for patients with contralateral mediastinal or distant metastases (stage IIIB or IV).

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Dr. Ian D. Penman

Consultant Gastroenterologist

Western General Hospital

Edinburgh

EH4 2XU

UK

Phone: +44 131 537 1758

Fax: +44 131 537 1007

Email: ian.penman@luht.scot.nhs.uk

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