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TheInternationalAssociationfortheStudyofLungCancer(IASLC)lymphnodemapTheInternationalAssociation1纵隔淋巴结IASLC课件2纵隔淋巴结IASLC课件3TheIASLClymphnode
mapdefines14differentlymphnodestations,whichmaybegroupedinto7zones.TheIASLClymphnodemapdefin4纵隔淋巴结IASLC课件57zonesSupraclavicularZoneUpperZoneAortopulmonaryZoneSubcarinalZoneLowerZoneHilarandInterlobarZonePeripheralZone7zonesSupraclavicularZone6SupraclavicularZoneSupraclavicularZone7纵隔淋巴结IASLC课件8纵隔淋巴结IASLC课件9Station1R:RightLowCervical,Supraclavicular,andSternalNotchLymphNodes.—Theupper
borderofstation1Risthelowermarginof
thecricoidcartilage.Thelowerborderofstation
1Ristheclaviclesbilaterallyand,inthemidline,theupperborderofthemanubrium.The
midlineofthetracheaservesastheboundarybetweenstations1Rand1L.Station1R:RightLowCervical10Station1L:LeftLowCervical,Supraclavicular,andSternalNotchLymphNodes.—Theupper
borderofstation1Listhelowermarginofthe
cricoidcartilage.Thelowerborderofstation1L
istheclaviclesbilaterallyand,inthemidline,the
upperborderofthemanubrium.Themidlineof
thetracheaservesastheborderbetweenstations
1Rand1L.Station1L:LeftLowCervical,11UpperZoneUpperZone12纵隔淋巴结IASLC课件13纵隔淋巴结IASLC课件14纵隔淋巴结IASLC课件15Station2R:RightUpperParatrachealLymph
Nodes.—Theupperborderofstation2Risthe
apexoftherightlungandpleuralspace,andin
themidline,theupperborderofthemanubrium.Thelowerborderofstation2Risthe
intersectionofthecaudalmarginoftheinnominateveinwith
thetrachea.Theleftlateralwallofthetrachea
(notthemidline)servesastheboundarybetween
stations2Rand2L.Station2R:RightUpperParatr16Station2L:LeftUpperParatrachealLymph
Nodes.—Theupperborderofstation2Listhe
apexoftheleftlungandpleuralspace,andin
themidline,theupperborderofthemanubrium.Thelowerborderofstation2Listhesuperior
superior
borderoftheaorticarch.Theleftlateral
borderofthetrachea(notthemidline)servesas
theboundarybetweenstations2Rand2L.Station2L:LeftUpperParatra17纵隔淋巴结IASLC课件18纵隔淋巴结IASLC课件19纵隔淋巴结IASLC课件20Station3A:PrevascularNodes.—Theupper
borderofstation3Aistheapexofthechest.Thelowerborderofstation3Aisthelevelofthe
carina.Theanteriorborderofstation3Aisthe
posterioraspectofthesternum.Theposterior
borderofstation3Aistheanteriorborderofthe
superiorvenacava(SVC)ontherightandthe
leftcarotidarteryontheleft.Station3A:PrevascularNodes.21Station3P:RetrotrachealLymphNodes.—Retrotracheal
lymphnodesarethoselocatedinthe
retrotrachealregionortheareaposteriortothe
trachea.Theupperborderofstation3Pisthe
apexofthechest.Thelowerborderofstation3P
isthecarina.Station3P:RetrotrachealLymp22纵隔淋巴结IASLC课件23纵隔淋巴结IASLC课件24纵隔淋巴结IASLC课件25Station4R:RightLowerParatrachealLymph
Nodes.—Theupperborderofstation4Ristheintersection
ofthecaudalmarginoftheinnominate
veinwiththetrachea.Thelowerborderofstation
4Risthelowerborderoftheazygosvein.Theleft
lateralwallofthetrachea(notthemidline)serves
astheboundarybetweenstations4Rand4L.Station4R:RightLowerParatr26Station4L:LeftLowerParatrachealLymph
Nodes.—Theupperborderofstation4Listhe
uppermarginoftheaorticarch.Thelower
borderofstation4Listheupperrimoftheleft
mainpulmonaryartery.Theleftlateralborder
ofthetrachea(notthemidline)servesasthe
boundarybetweenstations4Rand4L.Station4L:LeftLowerParatra27AortopulmonaryZoneAortopulmonaryZone28纵隔淋巴结IASLC课件29纵隔淋巴结IASLC课件30纵隔淋巴结IASLC课件31Station5:SubaorticLymphNodes.—Subaortic
(aortopulmonarywindow)lymphnodesarethose
thatarelateraltotheligamentumarteriosum.The
upperborderofstation5isthelowerborderoftheaorticarch.Thelowerborderofstation5isthe
upperrimoftheleftmainpulmonaryartery.Station5:SubaorticLymphNod32Station6:ParaaorticLymphNodes.—Paraaortic
lymphnodesarethosethatareanteriorandlateral
totheascendingaortaandaorticarch.Theupper
borderofstation6isalinetangentialtotheupperborderoftheaorticarch.Thelowerborderofstation
6isthelowerborderoftheaorticarch.Station6:ParaaorticLymphNo33SubcarinalZoneSubcarinalZone34纵隔淋巴结IASLC课件35纵隔淋巴结IASLC课件36纵隔淋巴结IASLC课件37Station7:SubcarinalLymphNodes.—Theupper
borderofstation
7isthecarinaofthetrachea.Thelowerborderofstation7istheupper
borderofthelowerlobebronchusontheleft
andthelowerborderofthebronchusintermedius
ontheright.Station7:SubcarinalLymphNo38LowerZoneLowerZone39纵隔淋巴结IASLC课件40Station8:ParaesophagealLymphNodes.—Paraesophageallymphnodesarethosethatlie
adjacenttothewalloftheesophagusandtothe
rightorleftofthemidline,excludingthesubcarinal
nodes.Theupperborderofstation8is
theupperborderofthelowerlobebronchuson
theleftandthelowerborderofthebronchus
intermediusontheright.Thelowerborderof
station8isthediaphragm.Station8:ParaesophagealLymp41Station9:PulmonaryLigamentLymph
Nodes.—Pulmonaryligamentlymphnodesare
thosethatliewithinthepulmonaryligament.Theupperborderofstation9istheinferior
pulmonaryvein.Thelowerborderofstation9is
thediaphragm.Station9:PulmonaryLigament42HilarandInterlobarZoneHilarandInterlobarZone43纵隔淋巴结IASLC课件44纵隔淋巴结IASLC课件45Station10:HilarLymphNodes.—Hilarlymph
nodesarethosethatareimmediatelyadjacent
tothemain-stembronchusandhilarvessels,includingtheproximalportionsofthepulmonary
veinsandmainpulmonaryartery,withstation
10Rontherightandstation10Lontheleft.
Theupperborderofstation10Risthelower
rimoftheazygosvein,andtheupperborderofstation10Listheupperrimofthepulmonary
arteryontheleft.Thelowerbordersofstations
10Rand10Laretheinterlobarregions
bilaterally.Station10:HilarLymphNodes.46Station11:InterlobarLymphNodes.—Interlobar
lymphnodesarethosethatarebetweenthe
originofthelobarbronchi,withstation11Ron
therightandstation11Lontheleft.Station11R
issubdividedintostations11Rs,whichrefersto
lymphnodesbetweentherightupperlobebronchus
andthebronchusintermedius,and11Ri,whichreferstolymphnodesbetweentheright
middleandlowerlobebronchi.Station11:InterlobarLymphN47PeripheralZonePeripheralZone48纵隔淋巴结IASLC课件49Station12:LobarLymphNodes.—Lobarlymph
nodesarethosethatareadjacenttothelobar
bronchi.Station12Risontheright,andstation
12Lisontheleft.Station12:LobarLymphNodes.50Station13:SegmentalLymphNodes.—Segmental
lymphnodes
arethosethatareadjacenttothe
segmentalbronchi.Station13R
isontheright,
andstation13Lisontheleft.Station13:SegmentalLymphNo51Station14:SubsegmentalLymphNodes.—Subsegmental
lymphnodesarethosethatareadjacent
tothesubsegmentalbronchi.Station14Ris
ontheright,andstation14Lisontheleft.Station14:SubsegmentalLymph52THEEND
THEEND53TheInternationalAssociationfortheStudyofLungCancer(IASLC)lymphnodemapTheInternationalAssociation54纵隔淋巴结IASLC课件55纵隔淋巴结IASLC课件56TheIASLClymphnode
mapdefines14differentlymphnodestations,whichmaybegroupedinto7zones.TheIASLClymphnodemapdefin57纵隔淋巴结IASLC课件587zonesSupraclavicularZoneUpperZoneAortopulmonaryZoneSubcarinalZoneLowerZoneHilarandInterlobarZonePeripheralZone7zonesSupraclavicularZone59SupraclavicularZoneSupraclavicularZone60纵隔淋巴结IASLC课件61纵隔淋巴结IASLC课件62Station1R:RightLowCervical,Supraclavicular,andSternalNotchLymphNodes.—Theupper
borderofstation1Risthelowermarginof
thecricoidcartilage.Thelowerborderofstation
1Ristheclaviclesbilaterallyand,inthemidline,theupperborderofthemanubrium.The
midlineofthetracheaservesastheboundarybetweenstations1Rand1L.Station1R:RightLowCervical63Station1L:LeftLowCervical,Supraclavicular,andSternalNotchLymphNodes.—Theupper
borderofstation1Listhelowermarginofthe
cricoidcartilage.Thelowerborderofstation1L
istheclaviclesbilaterallyand,inthemidline,the
upperborderofthemanubrium.Themidlineof
thetracheaservesastheborderbetweenstations
1Rand1L.Station1L:LeftLowCervical,64UpperZoneUpperZone65纵隔淋巴结IASLC课件66纵隔淋巴结IASLC课件67纵隔淋巴结IASLC课件68Station2R:RightUpperParatrachealLymph
Nodes.—Theupperborderofstation2Risthe
apexoftherightlungandpleuralspace,andin
themidline,theupperborderofthemanubrium.Thelowerborderofstation2Risthe
intersectionofthecaudalmarginoftheinnominateveinwith
thetrachea.Theleftlateralwallofthetrachea
(notthemidline)servesastheboundarybetween
stations2Rand2L.Station2R:RightUpperParatr69Station2L:LeftUpperParatrachealLymph
Nodes.—Theupperborderofstation2Listhe
apexoftheleftlungandpleuralspace,andin
themidline,theupperborderofthemanubrium.Thelowerborderofstation2Listhesuperior
superior
borderoftheaorticarch.Theleftlateral
borderofthetrachea(notthemidline)servesas
theboundarybetweenstations2Rand2L.Station2L:LeftUpperParatra70纵隔淋巴结IASLC课件71纵隔淋巴结IASLC课件72纵隔淋巴结IASLC课件73Station3A:PrevascularNodes.—Theupper
borderofstation3Aistheapexofthechest.Thelowerborderofstation3Aisthelevelofthe
carina.Theanteriorborderofstation3Aisthe
posterioraspectofthesternum.Theposterior
borderofstation3Aistheanteriorborderofthe
superiorvenacava(SVC)ontherightandthe
leftcarotidarteryontheleft.Station3A:PrevascularNodes.74Station3P:RetrotrachealLymphNodes.—Retrotracheal
lymphnodesarethoselocatedinthe
retrotrachealregionortheareaposteriortothe
trachea.Theupperborderofstation3Pisthe
apexofthechest.Thelowerborderofstation3P
isthecarina.Station3P:RetrotrachealLymp75纵隔淋巴结IASLC课件76纵隔淋巴结IASLC课件77纵隔淋巴结IASLC课件78Station4R:RightLowerParatrachealLymph
Nodes.—Theupperborderofstation4Ristheintersection
ofthecaudalmarginoftheinnominate
veinwiththetrachea.Thelowerborderofstation
4Risthelowerborderoftheazygosvein.Theleft
lateralwallofthetrachea(notthemidline)serves
astheboundarybetweenstations4Rand4L.Station4R:RightLowerParatr79Station4L:LeftLowerParatrachealLymph
Nodes.—Theupperborderofstation4Listhe
uppermarginoftheaorticarch.Thelower
borderofstation4Listheupperrimoftheleft
mainpulmonaryartery.Theleftlateralborder
ofthetrachea(notthemidline)servesasthe
boundarybetweenstations4Rand4L.Station4L:LeftLowerParatra80AortopulmonaryZoneAortopulmonaryZone81纵隔淋巴结IASLC课件82纵隔淋巴结IASLC课件83纵隔淋巴结IASLC课件84Station5:SubaorticLymphNodes.—Subaortic
(aortopulmonarywindow)lymphnodesarethose
thatarelateraltotheligamentumarteriosum.The
upperborderofstation5isthelowerborderoftheaorticarch.Thelowerborderofstation5isthe
upperrimoftheleftmainpulmonaryartery.Station5:SubaorticLymphNod85Station6:ParaaorticLymphNodes.—Paraaortic
lymphnodesarethosethatareanteriorandlateral
totheascendingaortaandaorticarch.Theupper
borderofstation6isalinetangentialtotheupperborderoftheaorticarch.Thelowerborderofstation
6isthelowerborderoftheaorticarch.Station6:ParaaorticLymphNo86SubcarinalZoneSubcarinalZone87纵隔淋巴结IASLC课件88纵隔淋巴结IASLC课件89纵隔淋巴结IASLC课件90Station7:SubcarinalLymphNodes.—Theupper
borderofstation
7isthecarinaofthetrachea.Thelowerborderofstation7istheupper
borderofthelowerlobebronchusontheleft
andthelowerborderofthebronchusintermedius
ontheright.Station7:SubcarinalLymphNo91LowerZoneLowerZone92纵隔淋巴结IASLC课件93Station8:ParaesophagealLymphNodes.—Paraesophageallymphnodesarethosethatlie
adjacenttothewalloftheesophagusandtothe
rightorleftofthemidline,excludingthesubcarinal
nodes.Theupperborderofstation8is
theupperborderofthelowerlobebronchuson
theleftandthelowerborderofthebronchus
intermediusontheright.Thelowerborderof
station8isthediaphragm.Station8:ParaesophagealLymp94Station9:PulmonaryLigamentLymph
Nodes.—Pulmonaryligamentlymphnodesare
thosethatliewithinthepulmonaryligament.Theupperborderofstation9istheinferior
pulmonaryvein.Thelowerborderofstation9is
thediaphragm.Station9:PulmonaryLigament95HilarandInterlobarZoneHilarandInterlobarZone96纵隔淋巴结IASLC课件97纵隔淋巴结IASLC课件98Station10:HilarLymphNodes.—Hilarlymph
nodesarethosethatareimmediatelyadjacent
tothemain-stembronchusandhilarvessels,includingtheproximalportionsofthepulmonary
veinsandmainpulmonaryartery,withstation
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