Skip to main content

Lung Cancer Staging

  • Living reference work entry
  • First Online:
Encyclopedia of Cancer

Definition

Accurate staging of tumors remains the cornerstone of lung cancer management and prognostication. The tumor, node, metastasis (TNM) system (TNM system) currently in use for the classification of non-small cell lung cancer (NSCLC) was first proposed more than 50 years ago by Denoix and was later adapted by the American Joint Committee for Cancer Staging in 1974. Subsequently, this staging system was revised in 1986, 1997, and more recently in 2009 resulting in the 7th edition of the TNM classification for lung cancer staging.

The TNM system considers the anatomical spread of cancer by factors of tumor size and invasion, extent of lymphatic spread, and presence of metastatic disease, thereby dictating current strategies for clinical and surgical staging investigations. Emphasis is on the detection of cytological and histological spread by means of noninvasive staging, such as imaging, or invasive staging, such as endoscopic or surgical biopsy. New on the horizon include...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Detterbeck FC, Boffa DJ, Tanoue LT (2009) The new lung cancer staging system. Chest 136:260–271

    Article  PubMed  Google Scholar 

  • Liptay MJ, D’amico TA, Nwogu C, Demmy TL, Wang XF, Gu L, Litle VR, Swanson SJ, Kohman LJ (2009) Thoracic surgery subcommittee of the cancer and leukemia group B. Intraoperative sentinel node mapping with technitium-99 in lung cancer: results of CALGB 140203 multicenter phase II trial. J Thorac Oncol 4:198–202

    Article  PubMed  Google Scholar 

  • Meyers BF, Haddad F, Siegel BA, Zoole JB, Battafarano RJ, Veeramachaneni N, Cooper JD, Patterson GA (2006) Cost-effectiveness of routine mediastinoscopy in computed tomography- and positron emission tomography-screened patients with stage I lung cancer. J Thorac Cardiovasc Surg 131(4):822–829

    Article  PubMed  Google Scholar 

  • Ng CSH, Zhang J, Wan S, Lee TW, Arifi AA, Mok T, Lo DYM, Yim APC (2002) Tumor p16M is a possible marker of advanced stage in non-small cell lung cancer. J Surg Oncol 79:101–106

    Article  PubMed  Google Scholar 

  • Sihoe AD, Lee TW, Ahuja AT, Yim AP (2004) Should cervical ultrasonography be a routine staging investigation for lung cancer patients with impalpable cervical lymph nodes? Eur J Cardiothorac Surg 25(4):486–491

    Article  PubMed  Google Scholar 

  • van Tinteren H, Hoekstra OS, Smit EF, van den Bergh JH, Schreurs AJ, Stallaert RA, van Velthoven PC, Comans EF, Diepenhorst FW, Verboom P, van Mourik JC, Postmus PE, Boers M, Teule GJ (2002) Effectiveness of positron emission tomography in the preoperative assessment of patients with suspected non-small-cell lung cancer: the PLUS multicentre randomised trial. Lancet 359:1388–1393

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anthony P. C. Yim .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Yim, A.P.C., Ng, C.S.H. (2014). Lung Cancer Staging. In: Schwab, M. (eds) Encyclopedia of Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27841-9_6916-2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-27841-9_6916-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-27841-9

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

Publish with us

Policies and ethics