TNM staging for malignancies of the digestive tract: 2003 changes and beyond.

TNM staging for malignancies of the digestive tract: 2003 changes and beyond.
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DOI:
10.1002/ssu.10018
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发表时间:
2003-01-01
期刊:
Seminars in surgical oncology
影响因子:
--
通讯作者:
Greene, Frederick L
Greene, Frederick L
中科院分区:
其他
文献类型:
--
作者:
Greene, Frederick L

文献摘要

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在准备UICC和AJCC关于TNM分期的第6版出版物时,专家现场小组审查了有关消化系统(胃肠道和肝胆)部位的所有数据。虽然几个部位(食道、小肠和肛管)的信息与第5版相比没有要求更改,但建议对胰腺、肝脏、肝外胆管系统、结肠和直肠进行显著更改。关于胃和壶腹周围的恶性肿瘤,有一些微小但重要的变化。这些变化是基于新的预后信息和对现有数据集的分析而做出的。强调了大型国家登记机构的重要性,如国家癌症数据库(NCDB;美国外科医生协会癌症委员会)。
In preparation for the 6th edition of the UICC and AJCC publications on TNM staging, all data regarding sites of the digestive system (gastrointestinal and hepatobiliary) were reviewed by expert site teams. Although the information for several sites (esophagus, small bowel, and anal canal) required no change from the 5th editions, significant changes were recommended for the pancreas, liver, extrahepatic biliary system, colon, and rectum. Minor but important changes were made regarding gastric and peri-ampullary malignancies. The changes were made based on new prognostic information and analysis of available data sets. The importance of large national registries, such as the National Cancer Data Base (NCDB; American College of Surgeons Commission on Cancer), is stressed.