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Mediastinal Nodes (N2) The mediastinal nodes (shown in green) surround the trachea. If the cancer has spread to these nodes it is considered more advanced (Stage III) and in the past surgery was not considered appropriate. Now these patients are thought to be candidates for surgery after completing chemotherapy (called neo-adjuvant, i.e. prior to surgery)
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The mediastinal nodes are wrapped around the trachea and major vessels and it may not always be possible to remove all of these. In general patients with cancer that has spread to the mediastinal nodes are given radiation to this region after surgery (Post-Operative Radiation.) |
