中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (08): 652-656.

• 专题笔谈 • 上一篇    下一篇

胃癌的临床分期及其重要意义

胡    祥   

  1. 大连医科大学附属第一医院普通外科，辽宁大连116011
  • 出版日期:2011-08-01 发布日期:2011-08-01

  • Online:2011-08-01 Published:2011-08-01

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摘要：

胃癌处理规约（日本）与UICC/TNM分类是国际上胃癌的两大重要临床分期系统。两大系统对胃癌的治疗具有重大作用，其演变过程反映了胃癌治疗过程的进步。两大系统在淋巴结转移分类法具有很大分歧，是两大分期系统的差异所在。2010年日本第14版《胃癌处理规约》与第7版UICC/TNM分类整合形成国际上统一的临床分期。新的分期的特征是以T（5段）、N（4段）、以淋巴结转移个数判定的N因子进行TNM分期，使不同分期的生存曲线能更精确的分层化。另外，临床分期是胃癌治疗方针确定的基础和依据，2010年第3版日本《胃癌治疗指南》即是以新版的胃癌TNM分期为依据确定的胃癌分期治疗的标准文本。

关键词: 胃癌, TNM分期, 临床分期

Abstract:

Clinical stages of gastric cancer and the significance               HU Xiang. Department of General Surgery, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Abstract    The General Rules for Gastric Cancer Study (Japan) and UICC/TNM Stage are the important stage systems for gastric cancer in the world. The two stage systems play an important role in the diagnosis and treatment of gastric cancer, and the change of version shows the progression of gastric cancer study. The distinction of classification of lymph node metastasis has the significant difference in the two stage systems. The uniform clinical stage in the world is formed by integrating the General Rules for Gastric Cancer Study (2010 version) and 7th edition UICC/TNM Stage. The feature of the new clinical stages is TNM stage based on T (5 segment), N (4 segment) and the number of lymph node metastasis, which make the survival curve of different clinical stages to be more exact gradation. The General Rules for Gastric Cancer Study (2010 version) is the standard rule for treatment of gastric cancer.

Key words: gastric cancer, TNM staging, clinical stage