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Point and Counterpoint |

Rebuttal From Dr Li et alRebuttal From Dr Li et al

Wilson W. Li, MD; Jacobus A. Burgers, MD, PhD; Houke M. Klomp, MD, PhD; Koen J. Hartemink, MD, PhD
Author and Funding Information

From the Department of Cardiothoracic Surgery (Dr Li), Academic Medical Center, University of Amsterdam; and Department of Thoracic Oncology (Dr Burgers) and Department of Thoracic Surgery (Drs Klomp and Hartemink), Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital.

CORRESPONDENCE TO: Wilson W. Li, MD, Department of Cardiothoracic Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands; e-mail: w.w.li@amc.uva.nl


CONFLICT OF INTEREST: None declared.

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


Chest. 2015;148(6):1380-1381. doi:10.1378/chest.15-1197
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Drs Tanner and Silvestri1 make a compelling argument regarding the lack of high-grade evidence in supporting the use of adjuvant surgical resection in patients with superior sulcus tumors (SSTs) with mediastinal lymph node involvement (N2 disease). Indeed, to our knowledge, there are no randomized trials on trimodality treatment in SSTs with N2 disease. However, the subsequent conclusion that induction therapy followed by surgical treatment in these patients is not supported by current evidence seems to be only the partial truth.

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