September 21, 2026 · Annals of surgical oncology · DOI: 10.1245/s10434-026-20030-7

Clinical Implications of Metastatic Nodal Burden: Stratifying Risk in Resected N1 and N2 NSCLC

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The authors aimed to determine whether metastatic nodal burden, defined by tumor deposit size, provides additional prognostic information beyond conventional N staging in patients with resected N1 and N2 non-small cell lung cancer (NSCLC). Their analysis of 1,495 patients revealed that larger metastatic deposits were associated with significantly worse overall and recurrence-free survival, suggesting that incorporating nodal burden into postoperative risk assessment could lead to more personalized management strategies for NSCLC patients.

Shia Kim, Geun Dong Lee, Sehoon Choi, Hyeong Ryul Kim, Yong-Hee Kim, Dong Kwan Kim, Seung-Il Park, Bokyung Ahn, Jae Kwang Yun

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