Sobin L H
Division of Gastrointestinal Pathology, Armed Froces Institute of Pathology, Washington, DC 20306-6000.
Semin Surg Oncol. 1992 Mar-Apr;8(2):107-10. doi: 10.1002/ssu.2980080212.
The major accomplishment of the 1987 edition of the TNM classification was the unification of criteria for all site classifications, namely, the elimination of all variations that had developed over the years. The main directions that TNM is taking for the future are 1) verification of published classifications, 2) classification of new sites and tumor types, 3) addressing the integration of nonanatomic factors with TNM to achieve prognostic grading, and 4) application of TNM beyond pure clinical-pathological aspects to assess methods of early detection, quality of care, and population trends.
1987年版TNM分类的主要成就是统一了所有部位分类的标准，即消除了多年来形成的所有差异。TNM未来的主要发展方向是：1）验证已发表的分类；2）对新部位和肿瘤类型进行分类；3）解决非解剖学因素与TNM的整合以实现预后分级；4）将TNM应用于纯临床病理方面之外，以评估早期检测方法、医疗质量和人群趋势。
