N1 Staging in Non-Small Cell Lung Cancer: Current Situation, Limitations, and the Importance of Peripheral Nodal Assessment

Tsukasa Ishiwata · 2026

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Description

Tsukasa Ishiwata authored a 2026 review of N1 staging in non-small cell lung cancer, the step that records whether cancer has reached lymph nodes inside or near the lung. Node status drives treatment choices, and the newest staging edition split the N2 category by burden of disease. N1, by contrast, remains one undifferentiated bucket.

The review argues that N1 disease varies widely in biology and outlook, especially between nodes near the airway center and those out in the lung periphery. Hidden N1 spread, found only after surgery, upends treatment plans and complicates choices about smaller lung-sparing operations or drug therapy before surgery. Ishiwata surveys new bronchoscopic tools that can reach distant node stations. Refining N1 assessment, the author concludes, is overdue for genuinely personalized lung cancer care.

Catalog record

CREATORTsukasa Ishiwata
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE36 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13255767

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