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Chest
Anatomy
IASLC Lymph Node Map
IASLC Lymph Node Map
Brett W. Carter, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Regional lymph node map using specific designations to facilitate reliable assessment of lymph node metastasis
              • Regional lymph nodes named according to structures with which they are associated or their general anatomic location
              • Defines 14 lymph node stations and 7 lymph node zones that can be assessed on CT and PET/CT
            • Should be used alongside 7th edition of tumor-node-metastasis (TNM) classification system for lung cancer
              • Includes non-small cell lung carcinoma (NSCLC), small cell lung carcinoma (SCLC), and bronchial carcinoid
            • Reconciles discrepancies among older maps
              • Naruke lymph node map
              • Mountain-Dresler modification of American Thoracic Society (ATS) map

          IMAGING

          • CT Findings

            PATHOLOGY

            • Staging, Grading, & Classification

              CLINICAL ISSUES

              • Treatment

                Selected References

                1. El-Sherief AH et al: International association for the study of lung cancer (IASLC) lymph node map: radiologic review with CT illustration. Radiographics. 34(6):1680-91, 2014
                2. Lee S et al: Change of the Junctions between Stations 10 and 4 by the New IASLC LN Map: A Validation Study from a Single Tertiary Referral Hospital Experience. Chest. ePub, 2014
                3. Jawad H et al: Review of the international association for the study of lung cancer lymph node classification system: localization of lymph node stations on CT imaging. Clin Chest Med. 34(3):353-63, 2013
                4. Pitson G et al: A critique of the international association for the study of lung cancer lymph node map: a radiation oncology perspective. J Thorac Oncol. 7(3):478-80, 2012
                5. Rusch VW 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. 4(5):568-77, 2009
                6. Tanoue LT: Staging of non-small cell lung cancer. Semin Respir Crit Care Med. 29(3):248-60, 2008
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                References
                Tables

                Tables

                KEY FACTS

                • Terminology

                  • Imaging

                    • Pathology

                      • Clinical Issues

                        TERMINOLOGY

                        • Definitions

                          • Regional lymph node map using specific designations to facilitate reliable assessment of lymph node metastasis
                            • Regional lymph nodes named according to structures with which they are associated or their general anatomic location
                            • Defines 14 lymph node stations and 7 lymph node zones that can be assessed on CT and PET/CT
                          • Should be used alongside 7th edition of tumor-node-metastasis (TNM) classification system for lung cancer
                            • Includes non-small cell lung carcinoma (NSCLC), small cell lung carcinoma (SCLC), and bronchial carcinoid
                          • Reconciles discrepancies among older maps
                            • Naruke lymph node map
                            • Mountain-Dresler modification of American Thoracic Society (ATS) map

                        IMAGING

                        • CT Findings

                          PATHOLOGY

                          • Staging, Grading, & Classification

                            CLINICAL ISSUES

                            • Treatment

                              Selected References

                              1. El-Sherief AH et al: International association for the study of lung cancer (IASLC) lymph node map: radiologic review with CT illustration. Radiographics. 34(6):1680-91, 2014
                              2. Lee S et al: Change of the Junctions between Stations 10 and 4 by the New IASLC LN Map: A Validation Study from a Single Tertiary Referral Hospital Experience. Chest. ePub, 2014
                              3. Jawad H et al: Review of the international association for the study of lung cancer lymph node classification system: localization of lymph node stations on CT imaging. Clin Chest Med. 34(3):353-63, 2013
                              4. Pitson G et al: A critique of the international association for the study of lung cancer lymph node map: a radiation oncology perspective. J Thorac Oncol. 7(3):478-80, 2012
                              5. Rusch VW 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. 4(5):568-77, 2009
                              6. Tanoue LT: Staging of non-small cell lung cancer. Semin Respir Crit Care Med. 29(3):248-60, 2008