Thorac Cardiovasc Surg 2012; 60(06): 421-424
DOI: 10.1055/s-0030-1271043
Case Reports
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Sentinel Node Microscopic Metastasis Detected after Segmentectomy for Lung Cancer Followed by Completion Lobectomy: Two Case Reports

Authors

  • T. Fukutomi

    1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
  • M. Kohno

    1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
  • Y. Izumi

    1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
  • Y. Hayashi

    2   Department of Pathology, School of Medicine, Keio University, Tokyo, Japan
  • T. Nakahara

    3   Department of Radiology, School of Medicine, Keio University, Tokyo, Japan
  • H. Nomori

    1   Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
Further Information

Publication History

03 February 2011
25 February 2011

14 March 2011

Publication Date:
12 May 2011 (online)

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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.