Kato Masanari G, Baek Chung-Hwan, Chaturvedi Pankaj, Gallagher Richard, Kowalski Luiz P, Leemans C René, Warnakulasuriya Saman, Nguyen Shaun A, Day Terry A
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Department of Medical Device Management & Research, SAIHST, Sungkyunkwan University School of Medicine, Seoul, South Korea.
World J Otorhinolaryngol Head Neck Surg. 2020 Mar 6;6(1):66-75. doi: 10.1016/j.wjorl.2019.06.001. eCollection 2020 Mar.
Squamous cell carcinoma of the oral cavity and oropharynx have been used synonymously and interchangeably in the world literature in the context of head and neck cancers. As the 21st century progresses, divergence between the two have become more evident, particularly due to evidence related to human papillomavirus-associated oropharyngeal squamous cell carcinoma. As such, the American Joint Committee on Cancer recently published the 8th edition Cancer Staging Manual, serving as a continued global resource to clinicians and researchers. Through changes in staging related to T and N clinical and pathologic classifications, the new system is expected to influence current management guidelines of these cancers that have distinct anatomic and etiopathogenic characteristics. This article aims to review such impactful changes in a time of critical transition of the staging of head and neck cancer and how these changes may affect clinicians and researchers worldwide.
在头颈癌领域,口腔和口咽鳞状细胞癌在世界文献中一直被视为同义词且可互换使用。随着21世纪的发展,两者之间的差异变得更加明显,特别是由于与人乳头瘤病毒相关的口咽鳞状细胞癌的相关证据。因此,美国癌症联合委员会最近发布了第8版《癌症分期手册》,为临床医生和研究人员提供了持续的全球资源。通过T和N临床及病理分类分期的变化,新系统有望影响这些具有不同解剖和病因特征的癌症的当前管理指南。本文旨在回顾头颈癌分期关键转变时期的此类重大变化,以及这些变化可能如何影响全球的临床医生和研究人员。