Nodal dissection in thymic surgery: a narrative review of the evolution of practice and evidence in the era of the 9th edition TNM classification (2000–2025)
Harleen Kaur, Ritu R Gill, Joshua Sonett · 2026
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Description
Harleen Kaur and co-authors review whether surgeons should clear lymph nodes during surgery for thymic tumors. Practice varies because guidance has been fuzzy. Some teams dissect nodes on purpose; others take only what comes with the specimen. The review covers 2000 to 2025 and keeps 32 solid studies.
Node spread tracks tumor type and stage. It stays under 2 percent in the mildest tumors. It reaches a quarter to half in thymic carcinoma and neuroendocrine tumors. Big, advanced, high-grade tumors predict spread best. Dissection sharpens staging and catches skip spread to deeper nodes. The authors turn the evidence into a risk-based protocol: dissect where the odds justify it.
Catalog record
| CREATOR | Harleen Kaur, Ritu R Gill, Joshua Sonett |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 28 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |