Japanese classification of gastric carcinoma: 3rd English edition
Japanese classification of gastric carcinoma: 3rd English edition
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DOI：
10.1007/s10120-011-0041-5
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发表时间：
2011-06-01
期刊：
影响因子：
7.4
通讯作者：
中科院分区：
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胃癌的发现被分类，并使用大写字母T，H等记录。每个参数的疾病程度由字母后面的阿拉伯数字表示（例如，T3 H1）;如果疾病程度未知，则使用X。临床和病理学分类源自从各种临床、成像和病理学来源获得的信息（见表1）。临床分类（c）是在治疗前评估结束时得出的，然后再决定手术的适当性。这种分类是治疗选择的基本指南，并能够评估治疗方案。病理学分类（p）基于临床分类，并通过病理学检查获得的额外证据进行补充或修改。这为关于额外治疗的决策提供了信息，并提供了预后信息。肿瘤组织学检查结果按以下顺序记录：肿瘤位置、大体类型、大小、组织学类型、浸润深度、癌-间质关系、浸润方式、淋巴管浸润、静脉浸润、淋巴结转移和切缘。举例来说：L，Less，2型，50 9 20 mm，tub 1 [tub 2，pT 2，int，INFb，ly 1，v1，pN 1（2/13），pPM 0，pDM 0（参见下文中的缩略语解释）。
Gastric cancer findings are categorized and recorded using the upper case letters T, H, etc. The extent of disease for each parameter is expressed by Arabic numerals following the letter (eg, T3 H1); where the extent of disease is unknown, X is used. The clinical and pathological classifications are derived from information acquired from various clinical, imaging, and pathological sources (listed in Table 1). The clinical classification (c) is derived at the conclusion of pretreatment assessment before a decision is made regarding the appropriateness of surgery. This classification is an essential guide to treatment selection and enables the evaluation of therapeutic options. The pathological classification (p) is based on the clinical classification supplemented or modified by additional evidence acquired from pathological examination. This informs decision-making regarding additional therapy and provides prognostic information. Where there is doubt regarding the T, N, or M category, the less advanced category should be used.Histological tumor findings are recorded in the following order: tumor location, macroscopic type, size, histological type, depth of invasion, cancer–stroma relationship, pattern of infiltration, lymphatic invasion, venous invasion, lymph node metastasis, and resection margins. For example: L, Less, Type 2, 50 9 20 mm, tub1 [tub2, pT2, int, INFb, ly1, v1, pN1 (2/13), pPM0, pDM0 (see subsequent text for an explanation of the abbreviations).