Henson D E, Ries L, Shambaugh E M
Division of Cancer Prevention and Control, National Cancer Institute, Bethesda, Maryland 20892.
Semin Surg Oncol. 1992 Mar-Apr;8(2):57-61. doi: 10.1002/ssu.2980080203.
The results of expressing patient outcome are compared using two staging systems: localized, regional, and distant (LRD) and the TNM of the American Joint Committee on Cancer (AJCC). Expressing patient outcome depends on the staging system used. There is overlap between the stage definitions of the LRD and the TNM. A single stage in the LRD may include more than one stage grouping of the TNM and vice versa. For most sites, "localized" provides lower survival rates than stage I of the TNM. The TNM provides more precise information about prognosis because its definitions reflect the latest survival information and diagnostic technology. Time trends can be measured only with the LRD because of its stability over the years. The precision of the TNM has been achieved at the expense of time trend analysis. The LRD is usually not an acceptable end point for the assessment of early cancer detection.
局限性、区域性和远处转移(LRD)分期系统以及美国癌症联合委员会(AJCC)的TNM分期系统。患者预后结果的表述取决于所使用的分期系统。LRD分期系统和TNM分期系统的阶段定义存在重叠。LRD分期系统中的单个阶段可能包含TNM分期系统的多个阶段分组,反之亦然。对于大多数部位,“局限性”的生存率低于TNM分期系统的I期。TNM分期系统能提供更精确的预后信息,因为其定义反映了最新的生存信息和诊断技术。由于LRD分期系统多年来的稳定性,只能用它来衡量时间趋势。TNM分期系统的精确性是以牺牲时间趋势分析为代价实现的。LRD分期系统通常不是评估早期癌症检测的可接受终点。