姚瑞荣, 高先春, 韩宁, 张进, 聂勇战. 癌结节对胃肠癌患者预后及分期影响的研究进展[J]. 中国肿瘤临床, 2022, 49(14): 711-715. DOI: 10.12354/j.issn.1000-8179.2022.20211908
引用本文: 姚瑞荣, 高先春, 韩宁, 张进, 聂勇战. 癌结节对胃肠癌患者预后及分期影响的研究进展[J]. 中国肿瘤临床, 2022, 49(14): 711-715. DOI: 10.12354/j.issn.1000-8179.2022.20211908
Ruirong Yao, Xianchun Gao, Ning Han, Jin Zhang, Yongzhan Nie. Research progress on prognostic and staging values of tumor deposits in colorectal and gastric cancers[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2022, 49(14): 711-715. DOI: 10.12354/j.issn.1000-8179.2022.20211908
Citation: Ruirong Yao, Xianchun Gao, Ning Han, Jin Zhang, Yongzhan Nie. Research progress on prognostic and staging values of tumor deposits in colorectal and gastric cancers[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2022, 49(14): 711-715. DOI: 10.12354/j.issn.1000-8179.2022.20211908

癌结节对胃肠癌患者预后及分期影响的研究进展

Research progress on prognostic and staging values of tumor deposits in colorectal and gastric cancers

  • 摘要: 癌结节最早在结直肠癌中被提出,后续也被发现存在于其他肿瘤,对相关肿瘤患者的预后产生重要影响。作为结直肠癌与胃癌患者的重要组织病理学特征之一,国际抗癌联盟/美国癌症联合委员会(UICC/AJCC)2017年第8版结直肠癌TNM分期系统将不伴淋巴结转移的癌结节归为N1c,而对伴有淋巴结转移的患者,癌结节并未纳入分期系统。在胃癌中,虽然癌结节已被相关研究证明了其重要性,但关于胃癌癌结节的来源、具体定义、预后价值及对胃癌分期的影响尚存争议。因此,癌结节如何影响结直肠癌与胃癌患者的临床诊疗决策还需进一步探索。本文就癌结节对胃肠癌预后和分期的影响及目前研究未达成的共识等进行综述,总结近期关于癌结节预后价值的研究结果以及癌结节对结直肠癌和胃癌分期和治疗的影响,提示其在胃肠癌预后判断及治疗指导方面的重要价值。

     

    Abstract: Tumor deposits were initially observed in colorectal cancer and subsequently in other cancers and had an important influence on the prognosis of patients. As an important histopathological characteristic in colorectal and gastric cancers, the eighth edition of UICC/AJCC Tumor–Node–Metastasis staging system for colorectal cancer classified tumor deposits without lymph node metastasis as N1c; those with lymph node metastasis were not included in the staging. In gastric cancer, although the significance of tumor deposits has been confirmed in several studies, their definition, origin, prognostic value, and effect on tumor staging remain controversial. Therefore, the effects of tumor deposits on clinical decision-making should be further explored. This study aimed to describe the recent findings on the prognostic value of tumor deposits and their influence on the staging and treatment of colorectal and gastric cancers, and emphasize their importance in prognosis prediction and treatment guidance of gastrointestinal cancer.

     

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