第8版《美国癌症联合会肿瘤分期手册》胰腺癌分期更新要点的影像学解读
Imaging understanding of the updates of the classification for pancreatic cancer in the American Joint Committee on Cancer cancer staging manual (8th edition)
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摘要:
胰腺癌是一种高度恶性肿瘤,病死率极高,手术切除是唯一可能治愈的治疗方案。影像学检查对胰腺癌的早期诊断及术前评估十分重要。准确的肿瘤分期对临床实践具有指导意义,可根据分期选择合适治疗方案,并判断患者的预后。近期美国癌症联合会(AJCC)对胰腺癌分期标准进行了更新,主要更新点在T分期和N分期,本文旨在从影像学角度对AJCC第8版胰腺癌TNM分期更新要点进行解读。
Abstract:Pancreatic cancer is a highly malignant tumor with a high mortality. Surgery is the only potential hope of cure for patients with pancreatic cancer. Imaging examination plays an essential role in both the early diagnosis and preoperative assessment. Accurate tumor staging has guiding significance for clinical practice. Appropriate therapeutic schedule will be selected according to the tumor staging, and then patients′ pro-gnosis can be evaluated. Recently,the TNM staging systems for pancreatic cancer have been updated by American Joint Committee on Cancer (AJCC). Major changes were made in the T and N staging. This article will review the updates of the 8th edition of AJCC cancer staging for pancreatic cancer from radiography aspect.
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