Clinical aspect of new international gastric cancer staging system.
- Author:
Han LIANG
1
Author Information
1. Department of Gastrointestinal Cancer Surgery, Key Laboratory of Cancer Prevention and Treatment of Tianjin City, Tianjin Cancer Hospital, Tianjin Medical University, China. tjlianghan@126.com
- Publication Type:Journal Article
- MeSH:
Humans;
Neoplasm Staging;
methods;
Stomach Neoplasms;
diagnosis;
surgery
- From:
Chinese Journal of Gastrointestinal Surgery
2013;16(2):111-113
- CountryChina
- Language:Chinese
-
Abstract:
The 7th UICC/AJCC Gastric Cancer TNM Staging System includes major revisions of pT and pN classification. The Japanese Classification and UICC/AJCC TNM System have reached consistency in staging of gastric cancer. There are some new topics of lymphadenectomy in the new guidelines. The new TNM system accepts the database from Japan and Korea and it will be more accurate to predict the prognosis of gastric cancer patients. The rationality of splenectomy, total bursectomy, dissection of No.13 and No.14 lymph nodes is still not very clear and needs more evidences. D2 lymphadenectomy is the recommended surgical approach both in Eastern and Western countries. The benefit of paraaortic lymphadenectmoy for selected patients needs further evidences as well. The international gastric cancer staging project will collect the data from 23 countries and the new staging system will be applicable worldwide.
