Skip Navigation LinksHome > January 2013 - Volume 8 - Issue 1 > On Lymph Node Trays in Lung Cancer Surgery
Journal of Thoracic Oncology:
doi: 10.1097/JTO.0b013e318279159a
Letters to the Editor

On Lymph Node Trays in Lung Cancer Surgery

Molnar, Tamas F. DSci, FETCS

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Department of Surgery, University of Pecs, Pecs, Hungary

Disclosure: The authors declare no conflicts of interest.

Address for correspondence: Tamas F. Molnar, DSci, FETCS, Department of Surgery, H 9022 Gyoőr Batthyanyi ter 13, Hungary. E-mail:

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To the Editor:

I read with deep interest the article by Osarogiagbon et al.1 in the August issue of the Journal of Thoracic Oncology. I would like to congratulate the authors on calling the attention of the readers to a seemingly minuscule technical detail: the proper handling and transporting of lymph nodes removed during lung cancer surgery. Unfortunately enough, the reference list of the article gives the misleading impression that no previous attempts to solve the problem addressed by the authors have been published so far. The reality is different. An article on a sterile moulded tray with cupped containers in the exact topographical positions of the hilar and mediastinal lymph nodes to assist the surgeon to achieve a systematic nodal collection was published 5 years ago.2 The article is freely downloadable from The tool has been in clinical use since this publication and is the third search result when one types lymphnode tray in Google search. The application of the same principle has led to the production of a similar tray representing the cervical region to be used in ear-nose-throat malignancies.3 A Hungarian publication with English abstract indexed in the Medline4 may have secondary importance, but the article published in a leading journal of the field should have not passed unnoticed.

Tamas F. Molnar, DSci, FETCS

Department of Surgery

University of Pecs

Pecs, Hungary

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1. Osarogiagbon RU, Miller LE, Ramirez RA, et al. Use of a surgical specimen-collection kit to improve mediastinal lymph-node examination of resectable lung cancer. J Thorac Oncol. 2012;7:1276–1282

2. Molnar TF. A new device for the identification of lymph nodes at lung cancer surgery. Eur J Cardiothorac Surg. 2007;31:311–312

3. Gerlinger I, Molnar TF, Jarai T, Móricz P, Rát G, Gőbel Gy. A new device for the identification of lymph nodes removed during different types of neck dissection. Health. 2010;2:1092–1096

4. Molnár TF, Horváth ÖP, Farkas L, et al.A műtőtől a mikroszkópig. A rendszerezett nyirokcsomóminták azonosításának új eszköze a ráksebészetben (From the Operational Theatre to the microscope. New device in onco-surgery to improve lymphnode identification). Magyar Sebészet. 2011;64:6–11

© 2013International Association for the Study of Lung Cancer


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