Department of Surgery, Division of General Thoracic Surgery, The Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Department of Surgery, Division of General Thoracic Surgery, The Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Thorac Surg Clin. 2020 Nov;30(4):425-433. doi: 10.1016/j.thorsurg.2020.07.001. Epub 2020 Sep 12.
Staging of malignant pleural mesothelioma has been challenging because of a paucity of cases and poor survival. At least 5 staging systems were proposed before 1990 until the first consensus system was published in 1995. This system used tumor, node, metastasis designations and borrowed heavily from parenchymal lung cancer descriptors. With the establishment of a database to collect cases from 1995 to 2013, evidence-based revisions to the 1995 staging classification were published in 2016. With improving imaging technology, clinical staging will become more refined and, it is hoped, more useful for prognostication even without operative resection.
恶性胸膜间皮瘤的分期一直具有挑战性，因为病例较少且存活率低。在 1990 年之前，至少提出了 5 种分期系统，直到 1995 年才首次发布了第一个共识系统。该系统使用肿瘤、淋巴结、转移的命名，并大量借鉴了实质性肺癌的描述。随着 1995 年至 2013 年病例数据库的建立，基于证据的对 1995 年分期分类的修订于 2016 年发布。随着成像技术的不断改进，临床分期将变得更加精细，并且希望即使没有手术切除，它也将更有助于预测预后。
