Davis N C, Evans E B, Cohen J R, Theile D E
Dis Colon Rectum. 1984 Nov;27(11):707-13. doi: 10.1007/BF02554593.
A new system, the Australian Clinico-pathological Staging (ACPS) System, has recently been proposed for the recording and reporting of colorectal carcinoma. This system requires the accurate use of precise definitions, cooperation between surgeons and pathologist, and a complete pathology report. It utilizes all information available--clinical, radiologic, operative, pathologic--before a stage is allotted. This contrasts with Dukes' system, which is based solely on the pathologic examination of the resected carcinoma. It allows classifications of all cases of colorectal cancer seen, whether treated by resection, palliative surgery, local excision or not at all. The stage at presentation and the five-year survival of 490 patients with colorectal cancer are compared using the ACPS and Dukes' systems. Eighty-four cases were not classifiable under Dukes' system, and there was a significant difference in survival in one of the comparable groups of patients.
最近有人提出了一种新的系统——澳大利亚临床病理分期（ACPS）系统，用于结直肠癌的记录和报告。该系统要求准确使用精确的定义，外科医生和病理学家之间密切合作，并出具完整的病理报告。在分配分期之前，它会利用所有可用信息——临床、放射学、手术、病理等信息。这与仅基于切除癌病理检查的Dukes系统形成对比。它能够对所有结直肠癌病例进行分类，无论这些病例是接受了切除术、姑息性手术、局部切除术还是根本未接受治疗。运用ACPS系统和Dukes系统对490例结直肠癌患者的就诊时分期和五年生存率进行了比较。有84例病例无法按照Dukes系统进行分类，并且在一组具有可比性的患者中，生存率存在显著差异。
