Stage classification is an important underpinning of management of patients with cancer, and rests on a combination of three components: T for tumor extent, N for nodal involvement, and M for more distant metastases. This article details an initiative to develop proposals for the first official stage classification system for thymic malignancies for the 8th edition of the stage classification manuals. Specifically, the results of analysis of a large database and the considerations leading to the proposed N and M components are described. Nodal involvement is divided into an anterior (N1) and a deep (N2) category. Metastases can involve pleural or pericardial nodules (M1a) or intraparenchymal pulmonary nodules or metastases to distant sites (M1b).

The IASLC/ITMIG thymic epithelial tumors staging project: Proposals for the N and M components for the forthcoming (8th) edition of the TNM classification of malignant tumors / K. Kondo, P. Van Schil, F.C. Detterbeck, M. Okumura, D. Giroux, H. Asamura, J. Crowley, C. Falkson, P.L. Filosso, G. Giaccone, J. Huang, J. Kim, M. Lucchi, M. Marino, E.M. Marom, A.G. Nicholson, E. Ruffini, P. Goldstraw, R. Rami-Porta, D. Ball, D. Beer, R. Beyruti, V. Bolejack, K. Chansky, W.E.E. Eberhardt, J. Edwards, F. Galateau-Salle, F. Gleeson, P. Groome, C. Kennedy, L. Kingsbury, Y.T. Kim, H. Kondo, M. Krasnik, K. Kubota, A. Lerut, G. Lyons, J. Van Meerbeeck, A. Mitchell, T. Nakano, A. Nowak, M. Peake, T. Rice, K. Rosenzweig, V. Rusch, N. Saijo, J.-. Sculier, L. Shemanski, K. Stratton, K. Suzuki, Y. Tachimori, C.F. Thomas, W. Travis, M.S. Tsao, A. Turrisi, J. Vansteenkiste, H. Watanabe, Y.-. Wu, P. Baas, J. Erasmus, S. Hasegawa, K. Inai, K. Kernstine, H. Kindler, L. Krug, K. Nackaerts, H. Pass, D. Rice, E. Blackstone, S. Call Caja, U. Ahmad, F. Detterbeck, N. Girard, S.J. Haam, D.R. Gomez, M.K. Bae, P. Strobel, A. Marx, S. Saita, H. Wakelee, L. Bertolaccini, E. Vallieres, W. Scott, S. Su, B. Park, J. Marks, S. Khella, R. Shen, M. Rosenberg, V. Tomulescu, C. Foroulis, L. Lang-Lazdunski, A. Bille, J.G. Maessen, M. Keijzers, H. Van Veer, C. Wright, F. Facciolo, G. Palmieri, C. Buonerba, M. Ferguson, G. Marulli, P. Loehrer, M. Kalkat, K. Rohrberg, G. Daugaard, A. Toker, S. Erus, M. Kimmich, A. Brunelli, M. Refai, A. Nicholson, E. Lim, I.K. Park, J. Wagner, B. Tieu, W. Fang, J. Zhang, Z. Yu, Y. Han, Y. Li, K. Chen, G. Chen, K. Nagai, Y. Fujii, J. Nakajima, N. Ikeda, S. Haraguchi, T. Onuki, I. Yoshino, M. Tsuchida, S. Takahashi, K. Yokoi, M. Hanyuda, H. Niwa, H. Date, Y. Maniwa, S. Miyoshi, A. Iwasaki, T. Okamoto, T. Nagayasu, F. Tanaka, M. Suzuki, K. Yoshida, Y. Okuma, H. Horio, A. Matsumura, M. Higashiyama, H. Suehisa, T. Onuki, Y. Sano, K. Kondo, K. Al Kattan, R. Cerfolio, C. Gebitekin, D. Gomez De Antonio, K.H. Kernstine, N. Altorki, N. Novoa, M. Scarci, L. Voltolini, W. Weder, W. Zurek, A. Arame, C. Casadio, P. Carbognani, G. Donati, S. Keshavjee, W. Klepetko, B. Moser, C. Lequaglie, M. Liberman, M. Mancuso, M. Nosotti, L. Spaggiari, P.A. Thomas, E. Rendina, F. Venuta, M. Anile, J. Schutzner, G. Rocco. - In: JOURNAL OF THORACIC ONCOLOGY. - ISSN 1556-0864. - 9:9(2014), pp. S81-S87.

The IASLC/ITMIG thymic epithelial tumors staging project: Proposals for the N and M components for the forthcoming (8th) edition of the TNM classification of malignant tumors

L. Bertolaccini;M. Nosotti;L. Spaggiari;
2014

Abstract

Stage classification is an important underpinning of management of patients with cancer, and rests on a combination of three components: T for tumor extent, N for nodal involvement, and M for more distant metastases. This article details an initiative to develop proposals for the first official stage classification system for thymic malignancies for the 8th edition of the stage classification manuals. Specifically, the results of analysis of a large database and the considerations leading to the proposed N and M components are described. Nodal involvement is divided into an anterior (N1) and a deep (N2) category. Metastases can involve pleural or pericardial nodules (M1a) or intraparenchymal pulmonary nodules or metastases to distant sites (M1b).
Staging; Prognosis; Thymoma; Thymic carcinoma; Stage classification
Settore MED/21 - Chirurgia Toracica
2014
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/707219
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