恶性胸膜间皮瘤：分期系统

Malignant pleural mesothelioma: staging systems.

作者信息

Van Schil P

机构信息

Department of Thoracic and Vascular Surgery, University Hospital of Antwerp, Wilrijkstraat 10, B-2650 Edegem, Antwerp, Belgium.

出版信息

Lung Cancer. 2005 Jul;49 Suppl 1:S45-8. doi: 10.1016/j.lungcan.2005.03.008. Epub 2005 Mar 29.

DOI:10.1016/j.lungcan.2005.03.008

PMID:15950801

Abstract

Malignant pleural mesothelioma has a very specific growth pattern invading the pleural surfaces and neighboring structures. For this reason precise estimation of tumor volume and description of local extension are particularly difficult. Different staging systems have been introduced, and the most widely used are discussed. Restaging of mesothelioma after induction therapy is even more complicated and still controversial. The recently described, modified response evaluation criteria in solid tumors (RECIST) criteria are presently the most accurate for response evaluation.

摘要

恶性胸膜间皮瘤具有非常特殊的生长模式，可侵犯胸膜表面及邻近结构。因此，精确估计肿瘤体积和描述局部扩展情况特别困难。已经引入了不同的分期系统，并对使用最广泛的系统进行了讨论。诱导治疗后间皮瘤的再分期更为复杂，且仍存在争议。最近描述的实体瘤改良反应评估标准（RECIST）目前是反应评估中最准确的。