Appraisal of compliance with the UICC/AJCC staging system in the staging of gastric cancer
Appraisal of compliance with the UICC/AJCC staging system in the staging of gastric cancer
复制标题
DOI：
10.1046/j.1365-2168.2002.02262.x
复制
发表时间：
2002-11-01
影响因子：
9.6
通讯作者：
Fielding, JWL
中科院分区：
文献类型：
--
作者：
Mullaney, PJ;Wadley, MS;Fielding, JWL
背景：在胃癌的外科治疗中，区域淋巴结转移具有重要的预后意义。第五版的Union Internacional Contra la Canadian分类已被证明是可重复的，实用的和重要的预后用途。肿瘤淋巴结转移（TNM）系统需要至少15个淋巴结进行采集和检查，以便准确分期。这引起了人们对获取必要数量节点的一致性的关注。本研究旨在评估西米德兰兹郡胃癌手术治疗病例的一致性如何满足准确分期的要求。方法：从西米德兰兹郡癌症情报中心获得1998年至1999年登记的所有胃癌病例的数据，并对每个手术治疗病例的淋巴结数量进行评估。总体而言，只有31.0%的手术切除病例可以根据TNM系统准确评估。准确分期的比例变化很大，从10.9%到76.0%.Conclusion：这些结果反映了需要改善N分期在整个地区，以帮助适当的多模式治疗的患者。
Background: In the surgical management of gastric carcinoma, regional lymphatic spread is of prognostic importance. The fifth edition of the Union Internacional Contra la Cancrum classification has been shown to be reproducible, practical and of significant prognostic use. The tumour node metastasis (TNM) system requires at least 15 lymph nodes to be acquired and examined for staging to be accurate. This has raised concern over the consistency with which the requisite numbers of nodes would be acquired. This study was performed to assess how consistently surgically managed cases of gastric cancer in the West Midlands fulfilled this requirement to allow accurate staging.Methods: Data from the West Midlands Cancer Intelligence Unit on all cases of gastric cancer registered from 1998 to 1999 were obtained and the number of lymph nodes documented for each surgically managed case was assessed.Results: Overall, only 31.0 per cent of surgically resected cases could be assessed accurately according to the TNM system. The proportion staged accurately varied widely across hospitals from 10.9 to 76.0 per cent.Conclusion: These results reflect the need for improved N staging across the region to aid the appropriate multimodal treatment of patients.