Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.
J Natl Compr Canc Netw. 2013 Jan 1;11(1):60-6. doi: 10.6004/jnccn.2013.0009.
The 7th edition of the AJCC Cancer Staging Manual has attempted to harmonize gastric and esophageal cancers, including management of gastroesophageal junction (GEJ)-type tumors. The treatment of complex tumor types is best guided by a staging classification that reliably groups patients according to prognosis and therapy. This article reviews and discusses these changes with the goal of elucidating key features of the staging system and outlining how these changes relate to the NCCN Clinical Practice Guidelines in Oncology with regard to the care and treatment of patients. The 7th edition of the AJCC Cancer Staging Manual has certainly improved harmonization of gastric and distal esophageal/GEJ-type adenocarcinomas, although issues persist, particularly regarding the optimal neoadjuvant treatment for the management of GEJ carcinomas.
《AJCC 癌症分期手册》第 7 版试图协调胃癌和食管癌，包括胃食管交界处（GEJ）型肿瘤的处理。对复杂肿瘤类型的治疗最好由分期分类来指导，该分类可根据预后和治疗可靠地对患者进行分组。本文旨在阐明分期系统的关键特征，并概述这些变化与 NCCN 肿瘤临床实践指南在患者护理和治疗方面的关系，以回顾和讨论这些变化。《AJCC 癌症分期手册》第 7 版确实提高了胃和远端食管/GEJ 型腺癌的协调性，尽管仍然存在一些问题，特别是关于 GEJ 癌管理的最佳新辅助治疗。
