Sentinel node microscopic metastasis detected after segmentectomy for lung cancer followed by completion lobectomy: two case reports

Thorac Cardiovasc Surg. 2012 Sep;60(6):421-4. doi: 10.1055/s-0030-1271043. Epub 2011 May 12.

Abstract

We performed sentinel node identification using radioisotopic and/or dye techniques to determine the final indication after segmentectomy in cases with non-small cell lung cancer. Sentinel nodes were examined using intraoperative frozen sections stained with hematoxylin and eosin. We present 2 cases with completion lobectomy performed 7 and 11 days after segmentectomy because immunohistochemical staining of the sentinel nodes showed the presence of microscopic metastases that were not detected by the examination of intraoperative frozen sections.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / secondary*
  • Adenocarcinoma / surgery*
  • Adenocarcinoma of Lung
  • Adult
  • Carcinoma, Non-Small-Cell Lung / secondary*
  • Carcinoma, Non-Small-Cell Lung / surgery*
  • Female
  • Frozen Sections
  • Humans
  • Immunohistochemistry
  • Intraoperative Care
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / surgery*
  • Lymphatic Metastasis
  • Neoplasm Micrometastasis
  • Pneumonectomy* / methods
  • Predictive Value of Tests
  • Reoperation
  • Sentinel Lymph Node Biopsy*
  • Staining and Labeling
  • Tomography, X-Ray Computed