高级检索
当前位置: 首页 > 详情页

Comparison of the 7th and proposed 8th editions of the AJCC/UICC TNM staging system for esophageal squamous cell carcinoma underwent radical surgery

文献详情

资源类型:
机构: [1]Fujian Med Univ, Canc Hosp, Dept Thorac Oncol, Fuzhou, Fujian, Peoples R China; [2]Fujian Prov Key Lab Tumor Biotherapy, Fuzhou, Fujian, Peoples R China; [3]Shanghai Jiao Tong Univ, Affiliated Chest Hosp, Dept Thorac Surg, 241 West Huaihai Rd, Shanghai, Peoples R China; [4]Sun Yat Sen Univ, Canc Ctr, State Key Lab Oncol South China, Dept Intens Care Unit,Collaborat Innovat, Guangzhou, Guangdong, Peoples R China; [5]Fujian Prov Canc Hosp, Dept Thorac Oncol, 420 Fuma Rd, Fuzhou 350014, Fujian, Peoples R China; [6]Fujian Med Univ, Canc Hosp, 420 Fuma Rd, Fuzhou 350014, Fujian, Peoples R China
出处:
ISSN:

关键词: Esophageal cancer Squamous cell carcinoma Prognosis

摘要:
Background: Recently, the 8th edition of the TNM classification of esophageal cancer has come up. The present study aims to compare the 7th and the proposed 8th edition of the AJCC/UICC TNM staging system for esophageal squamous cell carcinoma (ESCC). Methods: A total of 1872 ESCC patients who underwent radical surgery with curative intent were analyzed retrospectively. Survival was analyzed using the Kaplan Meier method, and values were compared using the log-rank test. Multivariate analysis was performed using the Cox proportional hazard model. The Akaike information criterion (AIC) and the concordance index (c-index) were applied to compare the two prognostic systems. Results: On univariate analysis, the 7th staging system, the proposed 8th staging system, gender, age as well as adjuvant treatment were found to have significant association with overall survival (OS). In both the current staging system and the modified version, age and gender were independent prognostic factors in a multivariate analysis. The AIC value for the proposed 8th version was smaller than that for the 7th staging system; the c-index value for the proposed 8th version was larger than that for the 7th staging system. Subgroup analysis in patients with/without nodal metastasis obtained consistent results. Conclusion: Based on the data from our single center, the proposed 8th AJCC staging system seems to be superior to the 7th AJCC staging system in terms of OS for patients with thoracic ESCC who underwent radical surgery. (C) 2017 Elsevier Ltd, BASO similar to The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

基金:
语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2017]版:
大类 | 3 区 医学
小类 | 2 区 外科 3 区 肿瘤学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学 2 区 外科
第一作者:
第一作者机构: [1]Fujian Med Univ, Canc Hosp, Dept Thorac Oncol, Fuzhou, Fujian, Peoples R China;
通讯作者:
通讯机构: [1]Fujian Med Univ, Canc Hosp, Dept Thorac Oncol, Fuzhou, Fujian, Peoples R China; [5]Fujian Prov Canc Hosp, Dept Thorac Oncol, 420 Fuma Rd, Fuzhou 350014, Fujian, Peoples R China; [6]Fujian Med Univ, Canc Hosp, 420 Fuma Rd, Fuzhou 350014, Fujian, Peoples R China
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:43370 今日访问量:0 总访问量:3120 更新日期:2024-09-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 四川省肿瘤医院 技术支持:重庆聚合科技有限公司 地址:成都市人民南路四段55号