The International Association for the Study of Lung Cancer Lung Cancer Staging Project: Overview of Challenges and Opportunities in Revising the Nodal Classification of Lung Cancer

被引：32

作者：

Osarogiagbon, Raymond Uyiosa ^{[1
]}

Van Schil, Paul ^{[2
]}

Giroux, Dorothy J. ^{[3
]}

Lim, Eric ^{[4
,5
]}

Putora, Paul Martin ^{[6
,7
]}

Lievens, Yolande ^{[8
]}

Cardillo, Giuseppe ^{[9
,10
]}

Kim, Hong Kwan ^{[11
]}

Rocco, Gaetano ^{[12
]}

Bille, Andrea ^{[13
,14
]}

Prosch, Helmut ^{[15
]}

Vasquez, Francisco Suarez ^{[16
,17
]}

Nishimura, Katherine K. ^{[3
]}

Detterbeck, Frank ^{[18
]}

Rami-Porta, Ramon ^{[19
,20
]}

Rusch, Valerie W. ^{[12
]}

Asamura, Hisao ^{[21
]}

Huang, James ^{[12
]}

机构：

[1] Baptist Canc Ctr, Multidisciplinary Thorac Oncol Program, Memphis, TN USA

[2] Antwerp Univ, Antwerp Univ Hosp, Dept Thorac & Vasc Surg, Antwerp, Belgium

[3] Canc Res & Biostat, Seattle, WA USA

[4] Imperial Coll London, London, England

[5] Royal Brompton Hosp, Acad Div Thorac Surg, London, England

[6] Kantonsspital St Gallen, Dept Radiat Oncol, St Gallen, Switzerland

[7] Univ Bern, Dept Radiat Oncol, Bern, Switzerland

[8] Ghent Univ Hosp, Radiat Oncol Dept, Ghent, Belgium

[9] Azienda Osped San Camillo Forlanini, Rome, Italy

[10] UniCamillus St Camillus Int Univ Hlth Sci, Rome, Italy

[11] Sungkyunkwan Univ, Samsung Med Ctr, Dept Thorac & Cardiovasc Surg, Sch Med, Seoul, South Korea

[12] Mem Sloan Kettering Canc Ctr, Dept Surg, Thorac Surg Serv, New York, NY USA

[13] Guys Hosp, Dept Thorac Surg, London, England

[14] Kings Coll Univ, London, England

[15] Med Univ Vienna, Vienna Gen Hosp, Dept Biomed Imaging & Image Guided Therapy, Vienna, Austria

[16] Clin Santa Maria, Surg Dept, Santiago, Chile

[17] Univ Los Andes, Santiago, Chile

[18] Yale Univ, Dept Surg, New Haven, CT USA

[19] Univ Barcelona, Hosp Univ Mutua Terrassa, Dept Thorac Surg, Terrassa, Barcelona, Spain

[20] Network Ctr Biomed Res Resp Dis CIBERES, Lung Canc Grp, Terrassa, Barcelona, Spain

[21] Keio Univ, Div Thorac Surg, Sch Med, Tokyo, Japan

来源：

JOURNAL OF THORACIC ONCOLOGY | 2023年 / 18卷 / 04期

关键词：

Lymph node; Staging; N-categories; Non-small cell lung cancer; Staging system; 9th edition TNM; SUPRACLAVICULAR LYMPH-NODE; FORTHCOMING 7TH EDITION; PROGNOSTIC-SIGNIFICANCE; TNM CLASSIFICATION; MARGIN STATUS; NUMBER; SURVIVAL; RESECTION; DESCRIPTORS; PROPOSALS;

D O I：

10.1016/j.jtho.2022.12.009

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The status of lymph node involvement is a major compo-nent of the TNM staging system. The N categories for lung cancer have remained unchanged since the fourth edition of the TNM staging system, partly because of differences in nodal mapping nomenclature, partly because of insufficient details to verify possible alternative approaches for staging. In preparation for the rigorous analysis of the International Association for the Study of Lung Cancer database neces-sary for the ninth edition TNM staging system, members of the N-Descriptors Subcommittee of the International Asso-ciation for the Study of Lung Cancer Staging and Prognostic Factors Committee reviewed the evidence for alternative approaches to categorizing the extent of lymph node involvement with lung cancer, which is currently based solely on the anatomical location of lymph node metastasis. We reviewed the literature focusing on NSCLC to stimulate dialogue and mutual understanding among subcommittee members engaged in developing the ninth edition TNM staging system for lung cancer, which has been proposed for adoption by the American Joint Committee on Cancer and Union for International Cancer Control in 2024. The discussion of the range of possible revision options for the N categories, including the pros and cons of counting lymph nodes, lymph node stations, or lymph node zones, also provides transparency to the process, explaining why certain options may be discarded, others deferred for future consideration. Finally, we provide a preliminary discussion of the future directions that the N-Descriptors Subcommit-tee might consider for the 10th edition and beyond.(c) 2022 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved. 2024, the overview for of sixth ferred struction Society The spectively Study data gested deferred allow gory. adopted solution staging and database.4,10

引用

页码：410 / 418

页数：9

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