Loh A, Jones D, Dickson G H
Department of Surgery, Worthing Hospital, West Sussex, UK.
J R Coll Surg Edinb. 1994 Feb;39(1):20-2.
In 216 patients with colorectal adenocarcinoma 'operative' and 'final' staging using Duke's classification were compared. The overall 'accuracy' of operative staging was 66% with 17% of tumours understaged and 17% overstaged. The major error was found in nodal staging. If selective peroperative adjuvant therapy is to be considered, efforts should be directed to improve operative nodal staging. Any recommendation for adjuvant perioperative chemotherapy based on operative staging alone will result in a significant number of patients having unnecessary treatment.
对216例结肠直肠癌患者采用杜克氏分类法进行“手术”分期和“最终”分期比较。手术分期的总体“准确率”为66%，17%的肿瘤分期过低，17%分期过高。主要错误出现在淋巴结分期方面。如果要考虑选择性术中辅助治疗，应致力于改善术中淋巴结分期。仅基于手术分期对辅助性围手术期化疗提出任何建议，都将导致大量患者接受不必要的治疗。
