The future of the TNM staging system in colorectal cancer: time for a debate?

被引:138
作者
Quirke, Philip
Williams, Geraint T.
Ectors, Nadine
Ensari, Arzu
Piard, Francoise
Nagtegaal, Iris
机构
[1] Univ Leeds, St James Univ Hosp, Leeds Inst Mol Med, Leeds LS9 7TF, W Yorkshire, England
[2] Cardiff Univ, Wales Coll Med, Dept Pathol, Cardiff, Wales
[3] Katholieke Univ Leuven Hosp, Dept Pathol, Louvain, Belgium
[4] Ankara Univ, Sch Med, Dept Pathol, TR-06100 Ankara, Turkey
[5] Univ Dijon, Fac Med, Dept Pathol & Cytol, F-21004 Dijon, France
[6] Radboud Univ Nijmegen Med Ctr, Dept Pathol, Nijmegen, Netherlands
关键词
D O I
10.1016/S1470-2045(07)70205-X
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
TNM staging has made a major contribution to the clinical management of patients with cancer over the past 50 years, but are we sure it delivers what is needed to provide adequate advice in the 21st century, and are there ways in which the system can be improved? This article, by pathologists with a special interest in colorectal cancer, is intended to offer constructive criticism towards the TNM classification of colorectal cancer, make suggestions for improvement, and recommend the adoption of a robust evidence base for this system.
引用
收藏
页码:651 / 657
页数:7
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