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口腔癌临床分期的TNM分类演变:过去、现在与未来

Evolution of TNM Classification for Clinical Staging of Oral Cancer: The Past, Present and the Future.

作者信息

Nagesh M, Gowtham S, Bharadwaj B, Ali Mohsin, Goud Arjun Kumar, Siddiqua Sara

机构信息

Department of OMFS, Sri Balaji Dental College, Moinabad, Hyderabad, India.

出版信息

J Maxillofac Oral Surg. 2023 Sep;22(3):710-719. doi: 10.1007/s12663-023-01915-6. Epub 2023 Apr 11.

DOI:10.1007/s12663-023-01915-6
PMID:37534341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390384/
Abstract

PURPOSE

The AJCC (American Joint Committee on Cancer) Cancer Staging Manual, 1st Edition, was published in 1977 which focused on the TNM classification and staging of cancer to allow easy communication, formulation of a treatment plan and predict the prognosis, among the medical fraternity.

METHODS

Ever since the beginning, various modifications of the classification were introduced and released by the joint collaboration of AJCC and UICC (International Union Against Cancer) in various editions of cancer staging manuals.

RESULTS

The present review article was kept focused onto the changes introduced in the clinical staging of cancers of oral cavity. These changes came a long way since 1st edition 1944, to the eighth edition which was published in 2017.

CONCLUSIONS

This article is a critical review on the past and present perspectives of the TNM classification of the oral cavity that were addressed and changed, adding a light on the future trends or necessary inclusions that would formulate a much easily acceptable and useful classification system.

摘要

目的

美国癌症联合委员会(AJCC)癌症分期手册第1版于1977年出版,其重点在于癌症的TNM分类和分期,以便在医学界进行便捷交流、制定治疗方案并预测预后。

方法

自一开始,AJCC和国际抗癌联盟(UICC)联合协作,在各版癌症分期手册中对该分类进行了各种修改并发布。

结果

本综述文章聚焦于口腔癌临床分期中引入的变化。从1944年第1版到2017年出版的第8版,这些变化历经了漫长的历程。

结论

本文对口腔癌TNM分类的过去和当前观点进行了批判性综述,这些观点已得到探讨和改变,为未来趋势或必要纳入内容提供了思路,从而形成一个更容易被接受且有用的分类系统。