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Lung Cancer: Is It Node Number or Location?Lung Cancer: Is It Node Number or Location?: Pardon Me, but What Is the Question?

Frank C. Detterbeck, MD, FCCP
Author and Funding Information

From the Yale School of Medicine.

Correspondence to: Frank C. Detterbeck, MD, FCCP, Yale School of Medicine, 330 Cedar St, BB205, New Haven, CT 06520-8062; e-mail: frank.detterbeck@yale.edu


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts: Dr Detterbeck is a member of the methodology committee of the International Staging Committee for Lung Cancer.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(6):1527-1529. doi:10.1378/chest.13-0275
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The article by Saji and colleagues1 in this issue of CHEST (see page 1618) is a well-done analysis of the relative effect of lymph node involvement by number vs location in patients undergoing resection of lung cancer. Lung cancer stage classification traditionally is based on the location,2 whereas in some other cancers, it is based on the number of involved nodes. Several authors have questioned this paradigm,3-6 and the study by Saji et al1 is one of only a few such studies to carefully evaluate the relative value of these two approaches.

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