Identification of the lymph node metastasis atlas and optimal lymph node dissection strategy in patients with resectable lung invasive mucinous adenocarcinoma: a real-world multicenter study

Chao Zheng; Guo-Chao Zhang; Long Zhang; Yu-Zhuo Zhang; Jia Jia; Shun Xu; Wen-Yue Zhao; Yang Liu; Meng Yue; Yue-Ping Liu; Shuang-Ping Zhang; Yi Shen; Qi-Yue Ge; Yu-Ning Han; Jing Li; Hong-Jiang Yan; Li-Yan Xue; Yu-Shun Gao; Feng-Wei Tan; Shu-Geng Gao; Qi Xue; Jie He

doi:10.1186/s40779-025-00659-3

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Identification of the lymph node metastasis atlas and optimal lymph node dissection strategy in patients with resectable lung invasive mucinous adenocarcinoma: a real-world multicenter study

RESEARCH | Updated：2026-06-10

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- Identification of the lymph node metastasis atlas and optimal lymph node dissection strategy in patients with resectable lung invasive mucinous adenocarcinoma: a real-world multicenter study
- “A multicenter study of 1,474 LIMA patients reveals distinct lymph node metastasis patterns, with stations 14 and 10 most commonly affected. Researchers established a risk-stratified dissection strategy, identifying 6-20 nodes as optimal and 18 as the key cutoff for uncertain cases, balancing accurate staging with long-term prognosis preservation.”
- Chao Zheng , Guo-Chao Zhang , Long Zhang , Yu-Zhuo Zhang , Jia Jia , Shun Xu , Wen-Yue Zhao , Yang Liu , Meng Yue , Yue-Ping Liu , Shuang-Ping Zhang , Yi Shen , Qi-Yue Ge , Yu-Ning Han , Jing Li , Hong-Jiang Yan , Li-Yan Xue , Yu-Shun Gao , Feng-Wei Tan , Shu-Geng Gao , Qi Xue , Jie He
- Military Medical Research Vol. 13, Issue 5, Pages: 689-705(2026)
- Affiliations：
  1.Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  2.Department of Cancer Prevention, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  3.Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  4.Department of Thoracic Surgery, the First Hospital of China Medical University, Shenyang 110001, China
  5.Department of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning 530012, China
  6.Department of Pathology, the Fourth Hospital of Hebei Medical University/Tumor Hospital of Hebei Province, Shijiazhuang 050010, China
  7.Department of Thoracic Surgery, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences, Taiyuan 030013, China
  8.Department of Thoracic Surgery, Jinling Hospital, Nanjing University, Nanjing 210009, China
  9.Depart-ment of Thoracic Surgery, Ningxia Medical University General Hospital, Yinchuan 750004, China
  10.Department of Thoracic Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050061, China
- Author bio：
  * Qi Xue xueqi@cicams.ac.cn
  Jie He prof.jiehe@gmail.com
- Funds：
- DOI： 10.1186/s40779-025-00659-3
  CLC：
- Accepted：02 October 2025 ，
- Accepted：
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Identification of the lymph node metastasis atlas and optimal lymph node dissection strategy in patients with resectable lung invasive mucinous adenocarcinoma: a real-world multicenter study

DOI： 10.1186/s40779-025-00659-3

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