Jähne J, Kübler S
Klinik für Allgemein- und Viszeralchirurgie, Schwerpunkt für endokrine und onkologische Chirurgie , Diakoniekrankenhaus Henriettenstiftung gGmbH, 30171, Hannover.
Chirurg. 2007 Dec;78(12):1091-5, 1097-9. doi: 10.1007/s00104-007-1426-1.
For peritoneal carcinomatosis, several different classification and scoring systems for clinical staging have been proposed and used by the different centers worldwide engaged in treating this clinical entity. Of highest clinical relevance are the classifications assessing tumor distribution and size and those describing the degree of surgical cytoreduction. Allocation of patients to different stages is based on clinical intraoperative evaluation and therefore is subjective and observer-dependent. The various classification systems are presented and discussed regarding applicability, exactness, and their value as either selection criterion or prognostic instrument.
对于腹膜癌病，全球不同治疗该临床实体的中心已提出并使用了几种不同的临床分期分类和评分系统。临床相关性最高的是评估肿瘤分布和大小的分类以及描述手术细胞减灭程度的分类。将患者分配到不同阶段是基于临床术中评估，因此具有主观性且依赖观察者。本文将介绍并讨论各种分类系统在适用性、准确性以及作为选择标准或预后工具的价值方面的情况。
