Santiago Joaquín M Rodríguez, Sasako Mitsuru, Osorio Javier
Hospital Universitari Mutua de Terrassa, Barcelona, España.
Cir Esp. 2011 May;89(5):275-81. doi: 10.1016/j.ciresp.2010.10.011. Epub 2011 Jan 21.
The 7th edition of the UICC/AJCC TNM, and a new revision of the Japanese Classification for Gastric Cancer and Treatment Guidelines (Japanese Gastric Cancer Association) have been available since the beginning of 2010. One of the most important changes consists on the redefining and simplification of type D1/D2 lymphadenectomy depending on the type of gastrectomy performed (previously it depended on the location of the primary tumour), and the adoption of numeric criteria of TNM-7th Edition to evaluate the level of lymph node involvement (before, according to the anatomical location of the groups as regards the primary tumour). These changes attempt to make therapeutic management easier and a more uniform comparison of results between countries. The importance of these modifications in both systems justifies this exhaustive analysis and update of the new concepts for a correct management of gastric cancer.
UICC/AJCC TNM第7版以及日本胃癌分类与治疗指南（日本胃癌协会）的新修订版自2010年初起已可供使用。其中最重要的变化之一包括，根据所施行的胃切除术类型重新定义并简化D1/D2淋巴结清扫术（以前取决于原发肿瘤的位置），以及采用TNM第7版的数字标准来评估淋巴结受累程度（以前是根据各淋巴结组相对于原发肿瘤的解剖位置）。这些变化旨在使治疗管理更加简便，并使各国之间的结果比较更加统一。这两个系统中这些修改的重要性证明了对这些新概念进行详尽分析和更新以正确管理胃癌的合理性。
