Leyvraz S, Costa J
Onkologisches und Pathologisches Institut, Universität Lausanne.
Orthopade. 1988 Apr;17(2):121-7.
The collaboration between the clinician and the pathologist is necessary for an optimal diagnosis and management of patients with soft tissue sarcoma. The clinician provides information about the patient and about the clinical aspect of the tumor. The pathologist gives a histological diagnosis, a grading of the tumor and information on the surgical margins. A staging of the tumor is then possible that will provide a prognosis for each tumor and will allow a stratification of patients with a similar prognosis and a comparison between treatments. A modification of the AJC (American Joint Committee on Cancer) staging system is proposed according to a better understanding of the different prognostic factors achieved during the last decade.
临床医生与病理学家之间的合作对于软组织肉瘤患者的最佳诊断和管理至关重要。临床医生提供有关患者及肿瘤临床情况的信息。病理学家给出组织学诊断、肿瘤分级以及手术切缘的信息。然后可以对肿瘤进行分期,这将为每个肿瘤提供预后情况,并能对预后相似的患者进行分层以及比较不同治疗方法。根据过去十年对不同预后因素的更好理解,提出了对美国癌症联合委员会(AJC)分期系统的修订。