Radiation Oncology, Chulolongkorn University : Staging

Radiation Oncology Chulolongkorn University

Staging

¡ÒÃ¾ÂÒ¡Ã³ìâÃ¤·ÕèÊÓ¤Ñ¢Í§¼Ùé»èÇÂÁÐàÃç§ÅÓäÊéãËè¤×Í ÃÐÂÐ¢Í§âÃ¤·Õèà»ç¹ (Surgical-pathological Staging) «Öè§ÁÕÍÂÙèËÅÒÂÃÐºº´éÇÂ¡Ñ¹ ÃÐºº·Õè¹ÔÂÁãªéÁÒ¡·ÕèÊØ´ã¹»Ñ¨¨ØºÑ¹¤×Í Dukes’ Classification áÅÐ TNM Classification9
Basic Dukes’ System »Õ ¤.È. 1932 »ÃÐ¡Íº´éÇÂ
Dukes’ A ÁÐàÃç§ÍÂÙè·Õè¼¹Ñ§ÅÓäÊéãËèà·èÒ¹Ñé¹
Dukes’ B ÁÐàÃç§ÅØ¡ÅÒÁ·ÐÅØ¼¹Ñ§ÊÓäÊéãËè
Dukes’ C ÁÐàÃç§ÅØ¡ÅÒÁä»¶Ö§µèÍÁ¹éÓàËÅ×Í§¢éÒ§à¤ÕÂ§
¹Í¡¨Ò¡¹Õéã¹¡Ã³Õ·ÕèÁÕ¡ÒÃá¾Ãè¡ÃÐ¨ÒÂ¢Í§ÁÐàÃç§ÅÓäÊéãËèä»ÊÙèÍÇÑÂÇÐÍ×è¹ æ áÅéÇ àÃÕÂ¡ÇèÒ
Dukes’D
ÊÓËÃÑºÃÐºº TNM classification (1988 AJCC/UICC staging system) áÊ´§ÃÒÂÅÐàÍÕÂ´äÇé´Ñ§¹Õé¤×Í
1988 AJC Staging System
Primary Tumor (T)
TX Primary tumor cannot be assessed
TO No evidence of primary tumor
TIS Carcinoma in situ
Tl Tumor invades submucosa
T2 Tumor invades muscularis propria
T3 Tumor invades through muscularis propria into subserosa or into nonperitonealized pericolic or
perirectal tissues
T4 Tumor perforates visceral peritoneum, or directly invades other organs or structures
Lymph Nodes (N)
NX Regional lymph nodes cannot be assessed
NO No regional lymph node metastasis
Nl Metastasis in l to 3 pericolic or perirectal lymph nodes
N2 Metastasis in 4 or more pericolic or perirectal lymph nodes
N3 Metastasis in any lymph node along course of a major
named vascular trunk
Distant Metastasis (M)
MX Presence of distant metastasis cannot be assessed
MO No distant metastasis
Ml Distant metastasis
Stage Grouping
0 Tis NO MO
l Tl NO MO
T2 NO MO
II T3 NO MO
T4 NO MO
III Any T Nl MO
Any T N2 MO
Any T N3 MO
IV Any T Any N M1
¹Í¡¨Ò¡¹Õé¡çÁÕ Astler & Coller system ã¹»Õ ¤.È. 1954 áÅÐ Modified Astler-Coller Staging system (MAC) â´Â Gunderson & Sosin ã¹»Õ ¤.È. 1978 ´Ñ§ÃÒÂÅÐàÍÕÂ´´Ñ§¹Õé
Modified Astler-Coller Staging System (MAC)
A Tumor involving only mucosa; nodes negative
Bl Tumor within bowel wall; nodes negative
B2 Tumor through bowel wall; nodes negative
B3 Tumor adherent to or invading adjacent structures; nodes negative
C1 Tumor within bowel wall; nodes positive
C2 Tumor through bowel wall; nodes positive
C3 Tumor adherent to or invading adjacent strructures; nodes positive
Correlation of Modified Astler-Collor and TNM Systems
MAC TNM
A TlNO
Bl T2NO
B2 T3NO
B3 T4NO
Cl T2Nl; T2N2; T2N3
C2 T3Nl; T3N2; T3N3
C3 T4Nl; T4N2; T4N3

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Last modified on 25 October 1996