田野, 郑高赞, 丰帆, 郑建勇. 肿瘤沉积在结直肠癌中的研究进展[J]. 中国肿瘤临床, 2023, 50(17): 906-909. DOI: 10.12354/j.issn.1000-8179.2023.20230584
引用本文: 田野, 郑高赞, 丰帆, 郑建勇. 肿瘤沉积在结直肠癌中的研究进展[J]. 中国肿瘤临床, 2023, 50(17): 906-909. DOI: 10.12354/j.issn.1000-8179.2023.20230584
Ye Tian, Gaozan Zheng, Fan Feng, Jianyong Zheng. Research progress on tumor deposit in colorectal cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2023, 50(17): 906-909. DOI: 10.12354/j.issn.1000-8179.2023.20230584
Citation: Ye Tian, Gaozan Zheng, Fan Feng, Jianyong Zheng. Research progress on tumor deposit in colorectal cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2023, 50(17): 906-909. DOI: 10.12354/j.issn.1000-8179.2023.20230584

肿瘤沉积在结直肠癌中的研究进展

Research progress on tumor deposit in colorectal cancer

  • 摘要: 肿瘤沉积(tumor deposit,TD)可在多种恶性肿瘤中被检测到,尤其是在结直肠癌患者中,其被视为一种侵袭性边界并具有重要的组织病理学特征。在现行的第8版结直肠癌TNM分期中,TD作为一个定性变量的潜在预后价值得到证实,但仍有许多方面需要探讨,如TD计数对患者预后影响、TD形状和大小的影响,以及如何有机地将TD状态和数量与阳性淋巴结的状态和数量整合在一起以更新TNM分期的可行性等。针对上述的问题,本文总结了TD起源与定义的演变,探讨其预后价值,旨在为解决目前TNM分期存在的弊端与争议提供新的思路。

     

    Abstract: Tumor deposit (TD) can be detected in various malignant tumors, especially in colorectal cancer, where they are considered an invasive boundary with important histopathological features. The 8th edition of the TNM staging system has confirmed the potential prognostic value of TD as a qualitative variable. However, there are still many aspects to explore, such as the impact of TD counting on patient prognosis, the impact of TD shape and size, and how to organically integrate the status and quantity of TD with the status and quantity of positive lymph nodes to update the feasibility of TNM staging. This article provides a detailed and in-depth discussion on the current issues. This study aimed to summarize the evolution of their origin and definition, discuss their prognostic value, and provide new ideas for addressing the current drawbacks and controversies of TNM staging.

     

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