{"id":2436,"date":"2011-02-15T10:33:00","date_gmt":"2011-02-15T02:33:00","guid":{"rendered":"https:\/\/tcr.cph.ntu.edu.31app.tw\/?p=2436"},"modified":"2022-01-25T13:24:27","modified_gmt":"2022-01-25T05:24:27","slug":"ajcc%e7%ac%ac%e4%b8%83%e7%89%88%e5%8b%98%e8%aa%a4%e8%a1%a8%ef%bc%8c%e8%ab%8b%e9%95%b7%e8%a1%a8%e9%86%ab%e9%99%a2%e4%b8%8b%e8%bc%89%e4%bf%ae%e6%ad%a3","status":"publish","type":"post","link":"https:\/\/twcr.tw\/?p=2436","title":{"rendered":"AJCC\u7b2c\u4e03\u7248\u52d8\u8aa4\u8868\uff0c\u8acb\u9577\u8868\u91ab\u9662\u4e0b\u8f09\u4fee\u6b63"},"content":{"rendered":"

\u63d0\u4f9bAJCC\u7b2c\u4e03\u7248\u52d8\u8aa4\u8868\uff0c\u8acb\u9577\u8868\u91ab\u9662\u4e0b\u8f09\u5f8c\u4e00\u4f75\u4fee\u6b63\u00a0 \u8cb4\u9662AJCC\u624b\u518a\uff0c\u7dda\u4e0a\u52d8\u8aa4\u7a0b\u5f0f\u5c07\u4ee5\u65b0\u52d8\u8aa4\u8868\u4f5c\u4fee\u8a02\u3002<\/p>\n

errataforms2010<\/a>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0erratainstructions2010<\/a>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0erratamanual2010<\/a>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0erratahandbook2010<\/a><\/p>\n

\n

\u4ee5\u4e0b\u6709\u95dcAJCC\u52d8\u8aa4\u8cc7\u8a0a\u4e00\u4f75\u63d0\u4f9b\u91ab\u9662\u53c3\u8003<\/p>\n

Since the publication of the 7th edition of the AJCC\u00a0Cancer Staging Manual<\/em>, a few minor staging clarifications were warranted as shown in Table 1. However, please be assured that the content of the 7th edition, as published in October 2009, is\u00a0sound and accurate<\/strong>. The clarifications are listed below in ascending frequency of diagnosis.<\/p>\n

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Table 1<\/strong>:<\/p>\n

\n\n\n\n\n\n\n\n
Ch<\/strong><\/td>\nPublication\/Page<\/strong><\/td>\nChapter Name<\/strong><\/td>\nSection<\/strong><\/td>\nChange<\/strong><\/td>\n<\/tr>\n
41<\/td>\nManual \u2013 p.457, 461
\nHandbook \u2013 p.525, 534<\/td>\n		Prostate<\/td>\nAnatomic Stage\/Prognostic Groups<\/td>\nFor Stage IIA, for T2a N0 M0 PSA<20 the Gleason score should be 7 (not \u2264 7)
\nAdd T2a N0 M0 PSA\u226510<20 Gleason \u2264 6<\/td>\n<\/tr>\n
42<\/td>\nManual \u2013 p.469, 472
\nHandbook \u2013 p.539, 544<\/td>\n		Testis<\/td>\nAnatomic Stage\/Prognostic Groups<\/td>\nSerum tumor markers used in staging should all be measured\u00a0post<\/strong>-orchiectomy<\/td>\n<\/tr>\n
33<\/td>\nManual \u2013 p.380
\nHandbook \u2013 p.465<\/td>\n		Vulva<\/td>\nRegional Lymph Nodes (N)<\/td>\nIn the regional lymph node definitions (yellow box) revise N1a to \u201cOne\u00a0or two\u00a0<\/strong>lymph node metastases\u201d<\/td>\n<\/tr>\n
30<\/td>\nManual \u2013 p.315, 319
\nHandbook \u2013 p.378, 384<\/td>\n		Merkel Cell Carcinoma<\/td>\nAnatomic Stage\/Prognostic Groups<\/td>\nIn the shaded stage group box, for Stage IIIB add\u00a0cN1<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Additionally, after the publication of 7th edition a validation of the ICD-O-3 site\/type labels was performed by staff from the National Cancer Data Base and Surveillance, Epidemiology and End Results (SEER) to support cancer surveillance activities. As a result topography and histology codes were updated. These codes are used primarily by cancer registry staff and not clinicians. The updated codes are reflected in Table 2 below:<\/p>\n

\n

Table 2<\/strong>:<\/p>\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Ch<\/strong><\/td>\nPublication<\/strong><\/td>\nChapter Name<\/strong><\/td>\nTopography & Histology Codes<\/strong><\/td>\n<\/tr>\n
5<\/td>\nManual \u2013 p.57
\nHandbook \u2013 p.81<\/td>\n		Larynx<\/td>\nDelete C32.3
\nClarify C32.8, C32.9 – stage by location of tumor bulk or epicenter<\/td>\n<\/tr>\n
9<\/td>\nManual \u2013 p.97
\nHandbook \u2013 p.123<\/td>\n		Mucosal Melanoma of the Head and Neck<\/td>\nChange 8020-8090 to 8720-8790<\/td>\n<\/tr>\n
10<\/td>\nManual \u2013 p.104
\nHandbook \u2013 p.130<\/td>\n		Esophagus and Esophagogastric Junction<\/td>\nAdd 8247-8248<\/td>\n<\/tr>\n
11<\/td>\nManual \u2013 p.118
\nHandbook \u2013 p.146<\/td>\n		Stomach<\/td>\nAdd 8247-8248<\/td>\n<\/tr>\n
12<\/td>\nManual \u2013 p.127
\nHandbook \u2013 p.153<\/td>\n		Small Intestine<\/td>\nAdd 8247-8248<\/td>\n<\/tr>\n
14<\/td>\nManual \u2013 p.144
\nHandbook \u2013 p.174<\/td>\n		Colon and Rectum<\/td>\nAdd 8247-8248<\/td>\n<\/tr>\n
16<\/td>\nManual \u2013 p.175
\nHandbook \u2013 p.219<\/td>\n		Gastrointestinal Stromal Tumor<\/td>\nReplace C48.1 with C48.0, C48.2-C48.8
\nReplace C17.4 with C17.8<\/td>\n<\/tr>\n
17<\/td>\nManual \u2013 p.181<\/td>\nNeuroendocrine Tumors<\/td>\nAdd C18.0, C18.2-C18.9<\/td>\n<\/tr>\n
33<\/td>\nManual \u2013 p.379
\nHandbook \u2013 p.463<\/td>\n		Vulva<\/td>\nChange 8276 to 8576<\/td>\n<\/tr>\n
37<\/td>\nManual \u2013 p.419
\nHandbook \u2013 p.493<\/td>\n		Ovary and Primary Peritoneal Carcinoma<\/td>\nRevise to 8000-8576, 8590-8671, 8930-9110 (C56.9 only)
\n8000-8576, 8590-8671, 8930-8934, 8940-9110 (C48.1-C48.8 only)<\/td>\n<\/tr>\n
53<\/td>\nManual \u2013 p.569
\nHandbook \u2013 p.631<\/td>\n		Carcinoma of the Lacrimal Gland<\/td>\nChange 8982 to 8981<\/td>\n<\/tr>\n
54<\/td>\nManual \u2013 p.577
\nHandbook \u2013 p.637<\/td>\n		Sarcoma of the Orbit<\/td>\nRevise to 8800-8936, 8940-9136, 9141-9508, 9520-9582<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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(source : http:\/\/www.cancerstaging.org\/products\/errata.html)<\/p>\n","protected":false},"excerpt":{"rendered":"

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