CLINICOPATHOLOGICAL STAGING FOR COLORECTAL-CANCER - AN INTERNATIONAL DOCUMENTATION SYSTEM (IDS) AND AN INTERNATIONAL COMPREHENSIVE ANATOMICAL TERMINOLOGY (ICAT)

被引:350
作者
FIELDING, LP
ARSENAULT, PA
CHAPUIS, PH
DENT, O
GATHRIGHT, B
HARDCASTLE, JD
HERMANEK, P
JASS, JR
NEWLAND, RC
机构
[1] CONCORD HOSP,DEPT ANAT PATHOL,SYDNEY,AUSTRALIA
[2] YALE UNIV,SCH MED,NEW HAVEN,CT 06510
[3] AUSTRALIAN NATL UNIV,DEPT SOCIOL,CANBERRA,ACT 2600,AUSTRALIA
[4] ALTON OCHSNER MED FDN & OCHSNER CLIN,DEPT COLON & RECTAL SURG,NEW ORLEANS,LA 70121
[5] UNIV NOTTINGHAM HOSP,DEPT SURG,NOTTINGHAM NG7 2UH,ENGLAND
[6] CONCORD HOSP,COLON & RECTAL UNIT,SYDNEY,AUSTRALIA
[7] UNIV ERLANGEN NURNBERG,CHIRURG KLIN,W-8520 ERLANGEN,GERMANY
[8] UNIV AUCKLAND,SCH MED,DEPT PATHOL,AUCKLAND,NEW ZEALAND
关键词
COLORECTAL CANCER; MULTIVARIATE ANALYTICAL METHODS; PROGNOSIS; PROGNOSTIC INDEX; STAGING SYSTEM;
D O I
10.1111/j.1440-1746.1991.tb00867.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The purpose of tumour staging for colorectal cancer (CRC) is to help define clinical management, facilitate communication between physicians, provide a basis for stratification and analysis of treatment results in prospective studies, and provide some prognostic information for patients and their families. The World Congresses of Gastroenterology, Digestive Endoscopy, and Coloproctology, Working Party on staging for CRC studied six commonly used systems to review their strengths and weaknesses. Although it was concluded that defining a new staging system was unnecessary, it was recognized that there is a need to define a terminology to describe the full anatomic extent of spread of CRC. Furthermore, we note that there are several additional features, derived from both clinical and pathology information, which have had prognostic significance shown by appropriately constructed multivariate analyses and which can be used to formulate a more accurate prognostic index than that provided by a description of anatomical tumour spread. Thus the Working Party came to two principal conclusions. First, a standard format should be adopted for the collection of the essential data required for prospective studies, and we recommend the 'International Documentation System (IDS) for CRC' for this purpose. Second, a nomenclature which describes the full anatomical extent of tumour spread and residual tumour status in CRC has been defined and should be adopted, from which all currently used staging systems can be derived. We have called this nomenclature the 'International Comprehensive Anatomical Terminology (ICAT) for CRC'. In the event that these recommendations are adopted, we envision that there will be improved clarity in the documentation of treatment outcome for patients with CRC and improved communication of results derived from prospective studies. Furthermore, an acceptance of IDS and ICAT would set the scene to develop a prognostic index for individual patients with CRC by the expansion of anatomical clinicopathology staging information to include additional factors which have independent prognostic significance.
引用
收藏
页码:325 / 344
页数:20
相关论文
共 104 条
[1]
INFLUENCE OF TUMOR SITE ON PRESENTATION, MANAGEMENT AND SUBSEQUENT OUTCOME IN LARGE BOWEL-CANCER [J].
ALDRIDGE, MC ;
PHILLIPS, RKS ;
HITTINGER, R ;
FRY, JS ;
FIELDING, LP .
BRITISH JOURNAL OF SURGERY, 1986, 73 (08) :663-670
[2]
ARMITAGE P, 1973, STATISTICAL METHODS, P78
[3]
THE PROGNOSTIC SIGNIFICANCE OF DIRECT EXTENSION OF CARCINOMA OF THE COLON AND RECTUM [J].
ASTLER, VB ;
COLLER, FA .
ANNALS OF SURGERY, 1954, 139 (06) :846-852
[4]
BAILEY NJT, 1967, MATH APPROACH BIOL M, P244
[5]
Beahrs OH, 1988, AJCC MANUAL STAGING
[6]
BERKSON J, 1950, P STAFF M MAYO CLIN, V25, P270
[7]
HISTOPATHOLOGY REPORTING IN LARGE BOWEL-CANCER [J].
BLENKINSOPP, WK ;
STEWARTBROWN, S ;
BLESOVSKY, L ;
KEARNEY, G ;
FIELDING, LP .
JOURNAL OF CLINICAL PATHOLOGY, 1981, 34 (05) :509-513
[8]
CLEARANCE TECHNIQUE FOR THE DETECTION OF LYMPH-NODES IN COLORECTAL-CANCER [J].
CAWTHORN, SJ ;
GIBBS, NM ;
MARKS, CG .
BRITISH JOURNAL OF SURGERY, 1986, 73 (01) :58-60
[9]
A METHOD OF REPORTING RADIAL INVASION AND SURGICAL CLEARANCE OF RECTAL-CARCINOMA [J].
CHAN, KW ;
BOEY, J ;
WONG, SKC .
HISTOPATHOLOGY, 1985, 9 (12) :1319-1327
[10]
A MULTIVARIATE-ANALYSIS OF CLINICAL AND PATHOLOGICAL VARIABLES IN PROGNOSIS AFTER RESECTION OF LARGE BOWEL-CANCER [J].
CHAPUIS, PH ;
DENT, OF ;
FISHER, R ;
NEWLAND, RC ;
PHEILS, MT ;
SMYTH, E ;
COLQUHOUN, K .
BRITISH JOURNAL OF SURGERY, 1985, 72 (09) :698-702