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鼻咽癌AJCC-UICC第8版临床分期(2)

时间:2025-04-28   来源:未知    
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鼻咽癌2016年新版国际分期

198 SystemsEngineeringandEngineeringManagement,CityUniversityofHongKong(ChoiHCW);Departmentof

DiagnosticRadiology,PamelaYoudeNethersoleEasternHospital,HongKong,China(KanWK);DepartmentofBiostatistics,PrincessMargaretCancerCentre,Canada(WeiX);DepartmentofRadiationOncology,StanfordUniversity,USA(LeQT);DepartmentofClinicalRadiology,UniversityofCaliforniaS,anFrancisco,USA(GlastonburyCM);DepartmnteofMedicine(Oncology),StanfordCancerInstitute,StanfordUniversity,USA(ColevasD);DepartmentofHeadandNeckSurgery,UniversityofTexasMDAndersonCancerCenter,USA(WeberRS);DepartmentofHeadandNeckSurgery,MemorialSloanKetteringCancerCenter,USA(ShahJP);DepartmentofClinicalOncology,UniversityofHongKongandClinicalOncologyCenter,China(LeeAWM)

Correspondingauthor:AnneW.M.Lee,Email:awmlee@khu.hk  【Abstract】 Objective Anaccuratestagingsystemiscrucialforcancermanagement.Withthedevelopmentofcancerstagingsystemsandtherapeuticmethods,theapplicabilityandimprovementofstagingsystemsshouldbeevaluatedconstantly.Methods Theclinicaldataof1609nasopharyngealcarcinomapatientswithoutmetastasisatinitialdiagnosis,whowereadmittedtotwotumorcentersinHongKongandMainlandChinaandreceivedintensity-modulatedradiotherapy(IMRT),wereanalyzedretrospectivelybased

th

onthe7editionoftheAmericanJointCommitteeonCancer(AJCC)orInternationalUnionAgainstCancer(UICC)stagingsystem,andallthepatientsunderwentmagneticresonanceimaging(MRI)beforetreatment.Results AmongtheT3/T4patientswithoutinvolvementofotheranatomicstructures,overallsurvival(OS)showednosignificantdifferencesbetweenthepatientswithmasticatorspace(medialpterygoidmuscleand/orlateralpterygoidmuscle)involvement,prevertebralmuscleinvolvement,andparapharyngealspaceinvolvement.TheOSwassimilarbetweenthepatientswithextensivesofttissue(softtissuesotherthanthestructuresmentionedabove)involvementandthosewithintracranialinvolvementorcranialnerveinvolvement.Only2%ofthepatientshadlymphnodemetastasis>6cmabovethesupraclavicularfossa(SCF),withanOSsimilartothatofthepatients …… 此处隐藏:1665字,全部文档内容请下载后查看。喜欢就下载吧 ……

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