A proposal for the annotation of recurrent colorectal cancer: the 'Sheffield classification'.
Colorectal Dis
; 13(11): 1273-9, 2011 Nov.
Article
en En
| MEDLINE
| ID: mdl-20883522
ABSTRACT
AIM:
Current classification systems of large bowel cancer only refer to metastatic disease as M0, M1 or Mx. Recurrent colorectal cancer primarily occurs in the liver, lungs, nodes or peritoneum. The management of each of these sites of recurrence has made significant advances and each is a subspecialty in its own right. The aim of this paper was to devise a classification system which accurately describes the site and extent of metastatic spread.METHOD:
An amendment of the current system is proposed in which liver, lung and peritoneal metastases are annotated by 'Liv 0,1', 'Pul 0,1' and 'Per 0,1' in describing the primary presentation. These are then subclassified, taking into account the chronology, size, number and geographical distribution of metastatic disease or logoregional recurrence and its K-Ras status.CONCLUSION:
This discussion document proposes a classification system which is logical and simple to use. We plan to validate it prospectively.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Peritoneales
/
Neoplasias Colorrectales
/
Neoplasias Hepáticas
/
Neoplasias Pulmonares
/
Recurrencia Local de Neoplasia
/
Estadificación de Neoplasias
Límite:
Humans
Idioma:
En
Revista:
Colorectal Dis
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
Reino Unido