第8版AJCC甲状腺癌TNM分期系统的更新要点及应用价值
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孙辉, Email: thyroidjl@163.com

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国家自然科学基金资助项目(81706251);吉林省科技发展计划基金资助项目(20160622024JC)。


Essential points and application value of the AJCC 8th edition TNM staging system for thyroid carcinoma
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    摘要:

    近年来,全球甲状腺癌发病率逐渐升高,精准的肿瘤分期和风险分层对甲状腺癌的治疗决策及术后管理具有很重要的指导意义。目前,美国癌症联合委员会(AJCC)制定的肿瘤-淋巴结-转移(TNM)分期系统得到了广泛认可和应用,2016年发布的第8版甲状腺癌TNM分期系统于2018年1月1日正式用于临床。相较于第7版,第8版进行了多处修改。笔者将第8版主要的更新要点及评估效果分别阐述,并综述学术界对其整体应用价值的不同观点和态度,旨在系统全面地评估第8版,希望能有助于读者对该系统的全面了解和认识。

    Abstract:

    n recent years, the incidence of thyroid cancer has continually increased worldwide. Accurate disease staging and risk stratification have great guiding significance in the treatment decision making and postoperative management of thyroid cancer. The tumor-nodes-metastases (TNM) staging system developed by the American Joint Commission on Cancer (AJCC) has gained widespread acceptance and application at present time. The 8th edition of the AJCC TNM staging system for thyroid cancer was issued in 2016, and has been formally used in clinical practice on January 1st, 2018. Compared with the 7th edition, several amendments have been made in the 8th edition. The authors address the essential points of the updates and the evaluation effectiveness of the 8th edition respectively and, also mention the different views and attitudes of the academic society towards its overall application value, for fully evaluating the 8th edition, and thereby expecting to help the readers to gain a comprehensive understanding of this new staging system.

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隋成秋, 梁楠 综述 孙辉 审校.第8版AJCC甲状腺癌TNM分期系统的更新要点及应用价值[J].中国普通外科杂志,2018,27(11):1464-1470.
DOI:10.7659/j. issn.1005-6947.2018.11.015

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  • 收稿日期:2018-08-12
  • 最后修改日期:2018-10-14
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  • 在线发布日期: 2018-11-25