1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

MEDIASTINAL LYMPH NODE ANATOMY

KONSTANTINOU ELEFTHERIA

PULMONOLOGIST

PULMONOLOGY CLINIC

INTERBALKAN EUROPEAN MEDICAL CENTER

IASLC International Association for the Study of Lung Cancer Mediastinal lymph nodes

NODAL ZONES NODAL STATIONS

SUPRACLAVICULAR ZONE(highest mediastinal nodes)

1. Low cervical, supraclavicular & sternal notch

UPPER ZONE(superior mediastinal nodes)

2. Upper Paratracheal3. Prevascular & retrotracheal4. Lower paratracheal

AORTOPULMONARY ZONE(aortic nodes)

5. Subaortic (AP window)6. Paraaortic

SUBCARINAL ZONE(inferior mediastinal nodes)

7. Subcarinal

LOWER ZONE(inferior mediastinal nodes)

8. Paraesophageal9. Pulmonary ligament

HILAR/INTRALOBAR ZONE 10. Hilar11. Interlobar

PERIPHERAL ZONE 12. Lobar13. Segmental14. Subsegmental

N2 nodes

N1 nodes

N3 nodes

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

IASLC International Association for the Study of Lung CancerNodal Chart

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

1. Supraclavicular2. Upper Paratracheal3. Prevascular &

retrotracheal4. Lower paratracheal

5. Subaortic (AP window)6. Paraaortic

7. Subcarinal

8. Paraesophageal9. Pulmonary ligament

10. Hilar11. Interlobar

12. Lobar13. Segmental14. Subsegmental

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

Nodal station 3 : Prevascular & retrotracheal

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

1. Supraclavicular2. Upper Paratracheal3. Prevascular &

retrotracheal4. Lower paratracheal

5. Subaortic (AP window)6. Paraaortic

7. Subcarinal

8. Paraesophageal9. Pulmonary ligament

10. Hilar11. Interlobar

12. Lobar13. Segmental14. Subsegmental

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

Διαχωριστική ζώνη για δε & αρ ΟΧΙ η μέση γραμμή, ΑΛΛΑ το αρ πλάγιο όριο της τραχείας!

MEDIASTINAL LYMPH NODES

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

TNM classification1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

TNM classification for lymph nodes

http://staginglungcancer.org

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

N REGIONAL LYMPH NODE

N0 No regional lymph node metastasis

N1 Metastasis in ipsilateral pulmonary or hilar lymph nodes

N2 Metastasis in ipsilateral mediastinal/subcarinal lymph nodes

N3 Metastasis in contralateral mediastinal/hilar or metastasis in ipsilateral or contralateral supraclavicular lymph nodes

STAGING

https://www.iaslc.org/publications/patient-resource-lung-cancer-guide

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

STAGING

https://www.iaslc.org/publications/patient-resource-lung-cancer-guide

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

Pulmonary lymphatic system1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

Pulmonary lymphatic system

Pulmonary lymphatic system1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

EBUS-TBNA AND MEDIASTINOSCOPY

1st one-day Course in Interventional Pulmonology“EBUS-TBNA: EXPLORING THE MEDIASTINUM”

1. Supraclavicular2. Upper Paratracheal3. Prevascular &

retrotracheal4. Lower paratracheal

5. Subaortic (AP window)6. Paraaortic

7. Subcarinal

8. Paraesophageal9. Pulmonary ligament

10. Hilar11. Interlobar

12. Lobar13. Segmental14. Subsegmental