Has the new TNM classification for colorectal cancer improved care?

被引:167
作者
Nagtegaal, Iris D. [1 ]
Quirke, Phil [2 ]
Schmoll, Hans-Joachim [3 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Dept Pathol, NL-6500 HB Nijmegen, Netherlands
[2] Univ Leeds, St Jamess Univ Hosp, Leeds Inst Mol Med, Leeds LS9 7TF, W Yorkshire, England
[3] Univ Hosp Halle, Dept Oncol, D-06120 Halle, Germany
关键词
AMERICAN-JOINT-COMMITTEE; EVIDENCE-BASED MEDICINE; ADVANCED RECTAL-CANCER; TUMOR DEPOSITS; STAGING SYSTEM; SET STANDARDS; 7TH EDITION; TIME; CATEGORIZATION; RADIOTHERAPY;
D O I
10.1038/nrclinonc.2011.157
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
In 2009, the Union for International Cancer Control issued the seventh edition of the well-used T (tumor), N (node), and M (metastasis) classification guidelines. There has been a continual refinement of the staging for colorectal cancer since this system for assessing tumor stage was initially adopted and it has been used to guide treatment decisions for over 50 years. However, the outcome after therapy for patients with colorectal cancer is very variable, even when patients are assigned to the same TNM category. This article assesses the changes that have been made since the sixth edition and discusses whether they are, in fact, informative improvements for a practicing clinician. Nagtegaal, I. D. etal. Nat. Rev. Clin. Oncol. 9, 119-123(2012): published online 18 October 2011; doi:10.1038/nrclinonc.2011.157
引用
收藏
页码:119 / 123
页数:5
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