Sentinel nodes in lung cancer: Review of our 10-year experience

Hiroaki Nomori, Mitsutomo Kono, Yotaro Izumi, Takashi Ohtsuka, Keisuke Asakura, Takashi Nakayama

Research output: Contribution to journalReview articlepeer-review

18 Citations (Scopus)


Sentinel node (SN) identification in patients with lung cancer is useful not only to minimize lymph node dissection, but also to target the best lymph nodes for intraoperative frozen section during segmentectomy. Since 2000, we have identified the SN in lung cancer patients using radioisotope (RI). This review presents our data on SN identification, describing the following: the procedure, using a radioisotope tracer; the flow of Tc-99 tin colloid after the injection; the characteristics of patients whose SNs could not be identified; ex vivo SN identification; reliability of in vivo SN identification; the algorithm for reducing mediastinal lymph node dissection; the differences in SN identification between large and small radioisotope particles; SNs at segmental lymph nodes; SN navigation segmentectomy for clinical stage IA non-small cell lung cancer; and small metastasis in the SN.

Original languageEnglish
Pages (from-to)889-895
Number of pages7
JournalSurgery today
Issue number7
Publication statusPublished - 2011 Jul 1


  • Limited surgery
  • Lung cancer
  • Segmentectomy
  • Sentinel lymph node

ASJC Scopus subject areas

  • Surgery


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