The IASLC lung cancer staging project: a proposal for a new international lymph node map in the forthcoming seventh edition of the TNM classification for lung cancer

J Thorac Oncol. 2009 May;4(5):568-77. doi: 10.1097/JTO.0b013e3181a0d82e.


The accurate assessment of lymph node involvement is an important part of the management of lung cancer. Lymph node "maps" have been used to describe the location of nodal metastases. However, discrepancies in nomenclature among maps used by Asian and Western countries hinder analyses of lung cancer treatment outcome. To achieve uniformity and to promote future analyses of a planned prospective international database, the International Association for the Study of Lung Cancer proposes a new lymph node map which reconciles differences among currently used maps, and provides precise anatomic definitions for all lymph node stations. A method of grouping lymph node stations together into "zones" is also proposed for the purposes of future survival analyses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma, Small Cell / classification
  • Carcinoma, Small Cell / mortality
  • Carcinoma, Small Cell / pathology*
  • Humans
  • International Cooperation
  • Lung Neoplasms / classification
  • Lung Neoplasms / mortality
  • Lung Neoplasms / pathology*
  • Lymph Nodes / anatomy & histology*
  • Lymph Nodes / pathology*
  • Lymphatic Metastasis
  • Neoplasm Invasiveness
  • Neoplasm Staging / standards*
  • Societies, Medical
  • Survival Rate