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Commentary |

Classification of the Thoroughness of Mediastinal Staging of Lung Cancer

Frank Detterbeck, MD, FCCP; Jonathan Puchalski, MD; Ami Rubinowitz, MD; David Cheng, MD
Author and Funding Information

Section of Thoracic Surgery (Dr Detterbeck), Section of Internal Medicine—Pulmonary (Dr Puchalski), Section of Diagnostic Radiology (Drs Rubinowitz and Cheng), Yale University School of Medicine, Yale Thoracic Oncology Program, New Haven, CT.

Correspondence to: Frank Detterbeck, MD, FCCP, Yale University School of Medicine, Section of Thoracic Surgery, Yale Thoracic Oncology Program, PO Box 208057, New Haven, CT 06520-8062; e-mail: frank.detterbeck@yale.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(2):436-442. doi:10.1378/chest.09-1378
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There are many complementary techniques for mediastinal staging of lung cancer. It is increasingly apparent that the accuracy of mediastinal staging depends not only on which test is used but also on technical factors of how the procedure is performed. This article reviews data regarding such technical factors and proposes a classification schema of the thoroughness of execution of mediastinal staging tests. Such a schema is needed for a thoughtful discussion of how mediastinal staging tests should be integrated and for the development of standards of good quality care for patients with non-small cell lung cancer.


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