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Difference between revisions of "Colorectal cancer staging"
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T3 looks like it is thru... removing
(T3 looks like it is thru... removing) |
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| T4a | | T4a | ||
| invasion of the visceral peritoneum | | invasion of the visceral peritoneum | ||
| | | tumour within 1 mm is ''not'' T4a; however, it should prompt cutting [[deepers]] and taking more sections | ||
|- | |- | ||
| T4b | | T4b | ||
| Line 87: | Line 87: | ||
| M1b | | M1b | ||
| more than one organ or peritoneal involvement | | more than one organ or peritoneal involvement | ||
| [[tumour deposit]]s are in the drainage bed of the tumour | | [[tumour deposit]]s are in the drainage bed of the tumour - they are not classified as metastases | ||
|} | |} | ||
| Line 109: | Line 109: | ||
Note: | Note: | ||
*Tumour perforation in colorectal cancer is poor prognosticator;<ref name=pmid17049848>{{Cite journal | last1 = Anwar | first1 = MA. | last2 = D'Souza | first2 = F. | last3 = Coulter | first3 = R. | last4 = Memon | first4 = B. | last5 = Khan | first5 = IM. | last6 = Memon | first6 = MA. | title = Outcome of acutely perforated colorectal cancers: experience of a single district general hospital. | journal = Surg Oncol | volume = 15 | issue = 2 | pages = 91-6 | month = Aug | year = 2006 | doi = 10.1016/j.suronc.2006.09.001 | PMID = 17049848 }}</ref> however, it does ''not'' affect the stage. It been suggested that perforated colorectal carcinoma be considered stage IV.<ref name=pmid19443386>{{Cite journal | last1 = Ogawa | first1 = M. | last2 = Watanabe | first2 = M. | last3 = Eto | first3 = K. | last4 = Omachi | first4 = T. | last5 = Kosuge | first5 = M. | last6 = Hanyu | first6 = K. | last7 = Noaki | first7 = L. | last8 = Fujita | first8 = T. | last9 = Yanaga | first9 = K. | title = Clinicopathological features of perforated colorectal cancer. | journal = Anticancer Res | volume = 29 | issue = 5 | pages = 1681-4 | month = May | year = 2009 | doi = | PMID = 19443386 }}</ref> | *[[Tumour perforation in colorectal cancer]] is poor prognosticator;<ref name=pmid17049848>{{Cite journal | last1 = Anwar | first1 = MA. | last2 = D'Souza | first2 = F. | last3 = Coulter | first3 = R. | last4 = Memon | first4 = B. | last5 = Khan | first5 = IM. | last6 = Memon | first6 = MA. | title = Outcome of acutely perforated colorectal cancers: experience of a single district general hospital. | journal = Surg Oncol | volume = 15 | issue = 2 | pages = 91-6 | month = Aug | year = 2006 | doi = 10.1016/j.suronc.2006.09.001 | PMID = 17049848 }}</ref> however, it does ''not'' affect the (overall) stage. It been suggested that perforated colorectal carcinoma be considered stage IV.<ref name=pmid19443386>{{Cite journal | last1 = Ogawa | first1 = M. | last2 = Watanabe | first2 = M. | last3 = Eto | first3 = K. | last4 = Omachi | first4 = T. | last5 = Kosuge | first5 = M. | last6 = Hanyu | first6 = K. | last7 = Noaki | first7 = L. | last8 = Fujita | first8 = T. | last9 = Yanaga | first9 = K. | title = Clinicopathological features of perforated colorectal cancer. | journal = Anticancer Res | volume = 29 | issue = 5 | pages = 1681-4 | month = May | year = 2009 | doi = | PMID = 19443386 }}</ref> | ||
==See also== | ==See also== | ||