Intrathoracic Lymph Node Metastases From Extrathoracic Carcinoma: The Place for Surgery Riquet M et al. - HMLNMs of extrathoracic carcinoma may be isolated, probably in the context of a particular lymphatic mode of spread. The authors' experience demonstrates that operation is mainly diagnostic but resection may safely achieve local control of the disease and deserves being advocated in patients with isolated and resectable HMLNMs. [more...]