Abstract
Moderator: Dr. Jass. The staging of colorectal cancer, a seemingly innocuous and dry subject, has within the last few years become topical and indeed spiked with emotion. A panel of five surgeons and five histopathologists, all with a special interest in colorectal cancer, have been invited to respond to a series of pertinent but fairly open-ended questions. I hope that you will find their answers both thought-provoking and instructive.
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References
Dukes CE (1932) The classification of cancer of the rectum. J Pathol Bacteriol 35: 323–332
Turnbull RB, Kyle K, Watson FR, Spratt J (1967) Cancer of the colon: the influence of the no-touch isolation technique on survival rates. Ann Surg 166: 420–427
Newland RC, Chapuis PH, Pheils MT, Macpherson JG (1981) The relationship of survival to staging and grading of colorectal cancer: a prospective study of 503 cases. Cancer 47: 1424–1429
Davis NC, Newland RC (1983) Terminology and classification of colorectal adenocarcinoma: The Australian Clinico-pathological Staging System. Aust NZ J Surg 53: 211–221
Goligher JC (1976) The Dukes’ A, B and C Categorisation of the extent of spread of carcinomas of the rectum. Surg Gynecol Obstet 143: 793–794
Chapuis PH, Fisher R, Dent OF. Newland RC, Pheils MT (1985) The relationship between different staging methods and survival in colorectal carcinoma. Dis Colon Rectum 28: 158–161
Newland RC, Chapuis PH, Smyth EJ (1987) The prognostic value of substaging colorectal carcinoma: a prospective study of 1117 cases with standardised pathology. Cancer (in press)
Chapuis PH, Dent OF, Fisher R, Newland RC, Pheils MT, Smyth E, Colquhoun K (1985) A multivariate analysis of clinical and pathological variables in prognosis after resection of large bowel cancer. Br J Surg 72: 698–702
Rubio CA, Emas S, Nylander G (1977) A critical reappraisal of Dukes’ classification. Surg Gynecol Obstet 145: 682–684
Smith DL, Signorino CE, De La Cruz TO, Lewis MI (1970) Staging of colonic and rectal carcinomas: a review of ten years’ experience at a Private Hospital. Dis Colon Rectum 13: 302–307
Roseman DL, Strauss AK (1980) Staging of carcinoma of the colon and rectum. Surg Gynecol Obstet 151: 93–95
Karavias TL, Hirner A, Haring R (1980) Problems in classifying colorectal carcinomata–The Dukes-ABC-System. Coloproctology 2: 241–244
Fitzgerald RH (1982) What is the Dukes’ System for carcinoma of the rectum? Dis Colon Rectum 25: 474–477
Zinkin LD (1983) A critical review of the classifications and staging of colorectal cancer. Dis Colon Rectum 26: 37–43
Donegan WL, De Cosse JJ (1978) Pitfalls and controversies in the staging of colorectal carcinoma. In: Enker WE (ed) Carcinoma of the colon and rectum, Year Book Medical, Chicago London, pp 49–70
Kyriakos M (1985) The President’s cancer, the Dukes classification, and confusion. Arch Pathol Lab Med 109: 1963–1066
Marwick C (1986) Staging of President’s cancer continues to stimulate discussion. JAMA 255: 2533–2536
Kirklin JW, Dockerty MB, Waugh JM (1949) The role of the peritoneal reflection in the prognosis of carcinoma of the rectum and sigmoid colon. Surg Gynecol Obstet 88: 326–331
Astler VB, Coller FA (1954) The prognostic significance of direct extension of carcinoma of the colon and rectum. Ann Surg 139: 846–852
Chapuis PH, Dent OF, Newland RC, Bokey EL, Pheils MT (1986) An evaluation of the American Joint Committee pTNM Staging method for cancer of the colon and rectum. Dis Colon Rectum 29: 6–10
Dukes CE, Bussey HJR (1958) The spread of rectal cancer and its effect on prognosis. Br J Cancer 12: 309–320
Quirke P, Durdey P, Dixon MF, Williams NS (1986) Local recurrence of rectal adenocarcinoma due to inadequate surgical resection. Lancet 2: 996–999
Talbot IC, Ritchie S, Leighton MA, Hughes AO, Bussey HJR, Morson BC (1980) The clinical significance of invasion of veins by rectal cancer. Br J Surg 67: 439–442
Russell AH, Pelton J, Reheis CE, Wisbeck WM, Tong DY, Dawson LE (1985) Adenocarcinoma of the colon: an autopsy study with implications for new therapeutic strategies. Cancer 56: 1446–1451
Phillips RK, Hittinger R, Blesovsky L, Frye JS, Fielding LP (1984) Local recurrence following `curative’ surgery for large bowel cancer II. The rectum and rectosigmoid. Br J Surg 71: 17–20
Fielding LP, Phillips RKS, Frye JS, Hittinger R (1986) The prediction of outcome after curative resection for large bowel cancer. Lancet 2: 904–907
Blenkinsopp WK, Stewart-Brown S, Blesovsky L, Kearney G, Fielding LP (1981) Histopathology reporting in large bowel cancer. J Clin Pathol 34: 598–613
Nathanson SD, Schultz L, Tilley B, Kambouris A (1986) Carcinomas of the colon and rectum. A comparison of staging classifications. Am Surg 52: 429–433
Ham AW, Cormack DH (1979) Histology, 8th edn. JB Lippincott, Philadelphia
Hermanek P (1986) Problems of pTNM classification of carcinoma of the stomach, colorectum and anal margin. Pathol Res Pract 181: 296–300
Perzin KH, Fenoglio CM, Pascal RR (1983) Neoplastic diseases of the small and large intestine. In: Siverberg SG (ed) Principles and practice of surgical pathology. John Wiley, New York, p 921
Cohn I Jr, Nance FC (1977) The colon and rectum. In: Sabiston DC Jr (ed) Davis-Christopher textbook of surgery, 11th edn. WB Saunders, Philadelphia, p 1108
American Joint Committee on Cancer (1983) Manual for staging of cancer. In: Beahrs OH, Myers MD (eds). JB Lippincott, Philadelphia, pp 73–80
Hutter RVP, Sobin LH (1986) A universal staging system for cancer of the colon and rectum. Let there be light. Arch Pathol Lab Med 110: 367–368
Thynne GS, Weiland LH, Moertel CG, Silvers A (1980) Correlation of histopathologic characteristics of primary tumour and uninvolved regional lymph nodes in Dukes’ class C colonic carcinoma with prognosis. Mayo Clin Proc 55: 243–245
Wolmark N, Fisher B, Wieand HS (1986) The prognostic value of the modifications of the Dukes’ C class of colorectal cancer. Ann Surg 203: 115–122
Jass JR, Morson BC (1986) A universal staging system for cancer of the colon and rectum revisited. Arch Pathol Lab Med 110: 1119 (Letter)
Gastrointestinal Tumour Study Group (1984) Adjuvant therapy of colon cancer — results of a prospectively randomized trial. N Engl J Med 310: 737–743
Jass JR, Atkin WS, Cuzick J, Bussey HJR, Morson BC, Northover JMA, Todd IP (1986) The grading of rectal cancer: historical perspectives and a multivariate analysis of 447 cases. Histopathology 10: 437–459
Buckwalter JA, Thomas MS, Kent H (1973) Colonic cancer — essential information for a pathologic report. Arch Pathol 95: 366–370
Cawthorn SJ, Gibbs NM, Marks CG (1986) Clearance techniques for the detection of lymph nodes in colorectal cancer. Br J Surg 73: 58–60
Jass JR, Miller K, Northover JMA (1986) Fat clearance method versus manual dissection of lymph nodes in specimens of rectal cancer. Int J Colorect Dis 1: 155–156
Qizilbash A (1982) Pathologic studies in colorectal cancer. A guide to the surgical pathology examination of colorectal specimens and review of features of prognostic significance. PatholAnnu 17: 1–46
Morson BC (1981) Histopathology reporting in large-bowel cancer. Br Med J 283: 1493–1494
Buckwalter JA Jr, Kent TH (1973) Prognosis and surgical pathology of carcinoma of the colon. Surg Gynaecol Obstet 136: 465–472
Thomas GDH, Dixon MF, Smeeton NC, Williams NS (1983) Observer variation in the histological grading of rectal carcinoma. J Clin Pathol 36: 385–391
Quirke P, Durdey P, Dixon MF, Dyson JED, Williams NS, Bird CC (1987) The prognostic significance of DNA aneuploidy in rectal adenocarcinomas. J Pathol 151: 285–291
Finan PJ, Quirke P, Dixon MF, Dyson JED, Giles GR, Bird CC (1986) Is DNA aneuploidy a good prognostic indicator in patients with advanced colorectal cancer? Br J Cancer 54: 327–330
Chapuis PH, Newland RC, Payne JE, Macpherson JG, Pheils MT (1980) Preoperative carcinoembryonic antigen level and prognosis in colorectal cancer. Med J Aus 2: 140–143
Freedman LS, Macaskill P, Smith AN (1984) Multivariate analysis of prognostic factors for operable rectal cancer. Lancet 2: 733–736
Williams NS, Durdey P, Quirke P, Robinson PJ, Dyson JED, Dixon MF, Bird CC (1985) Pre-operative staging of rectal neoplasm and its impact on clinical management. Br J Surg 72: 868–874
Zorzitto M, Germanson T, Cummings B, Boyd NF (1982) A method of clinical prognostic staging for patients with rectal cancer. Dis Colon Rectum 25: 759–765
Nicholls RJ, Mason AY, Morson BC (1982) The clinical staging of rectal cancer. Br J Surg 69: 404–409
Finlay IG, McArdle CS (1986) Occult hepatic metastases in colorectal carcinoma. Br J Surg 73: 732–735
Jass JR, Love SB, Northover JMA (1987) A new prognostic classification of rectal cancer. Lancet 1: 1303–1306
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© 1991 Springer-Verlag Berlin Heidelberg
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Nicholls, R.J., Mortensen, N.J.M., Northover, J.M.A. (1991). Staging of colorectal cancer. In: Nicholls, R.J., Mortensen, N.J.M., Northover, J.M.A. (eds) Topics in Colorectal Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76281-9_2
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DOI: https://doi.org/10.1007/978-3-642-76281-9_2
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