Abstract
The stage of cancer should accurately reflect the prognosis of patients suffering from the disease, as well as the resectability of tumors. There have been a number of proposals in the past for staging of pancreatic carcinoma (Biometry Branch, National Cancer Institute 1972 [1], Hermreck 1974 [2], Leadbetter et al. 1975 [3], Cancer of the Pancreas Task Force 1981 [4], Fortner 1981 [5], Gall and Zirngibl 1986 [6], Klapdor 1986 [7], Klöppel and Fitzgerald 1986 [8]). The most recent stage classifications (SC) are that of the Japan Pancreas Society published in 1982 and revised in 1986 [9], and that of the Union International Contre le Cancer (UICC) published in 1987 [10]. In this paper, we will introduce the stage classification proposed by Japan Pancreas Society (JPN-SC), discuss the major differences between JPN-SC and UICC-SC, and report the therapeutic results of 229 pancreatic cancer patients analyzed according to the two staging systems.
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References
Biometry Branch, National Cancer Institute (1972) End results in cancer. Report No. 4, Publication No. 73-272. Axtel LM, Cutler SJ, Myers MH (eds) US Department of Health, Education and Welfare, End Results Section, pp 81 - 84
Hermreck AS, Thomas CY, Friesen SR (1974) Importance of pathologic staging in the surgical management of adenocarcinoma of the exocrine pancreas. Am J Surg 127: 653 - 657
Leadbetter A, Foster RS Jr, Haines CR (1975) Carcinoma of the pancreas. Results from the Vermont tumor registry. Am J Surg 129: 356-360
Cancer of the Pancreas Task Force (1981) Staging of cancer of the pancreas. Cancer 47: 1631 - 1637
Fortner JG (1984) Regional pancreatectomy for cancer of the pancreas, ampulla, and other related sites. Tumor staging and results. Ann Surg 199: 418 - 425
Gall FP, Zirngibl H (1986) Malign Tumoren des Pankreas und der periampullaren Region. In: Gall FP, Hermanek P, Tonak J (eds) Chirurgische Onkologie und stadiengerechte Therapie maligner Tumoren. Springer, Berlin Heidelberg New York, pp 416 - 460.
Klapdor R (1986) TNM-Klassification, Staging und Prognose des Pankreaskarzinomas. Dtsch med Wschr 111: 229 - 233
Klöppel G, Fitzgerald PJ (1986) Pathology of non-endocrine pancreatic tumors. In: Go VLW, Gardner JD, Brooks FP, Lebenthal E, Dimagno EP, Scheele GA (eds) The exocrine pancreas. Raven, New York, pp 649 - 674
Japan Pancreas Society (1986) General rules for surgical and pathological studies on cancer of the pancreas (in Japanese). 3rd edn. Kanehara, Tokyo
UICC (1987) TNM classification of malignant tumors, 4th fully rev edn. Springer, Berlin Heidelberg New York
UICC (1989) TNM atlas. Illustrated guide to the TNM/pTNM-classification of malignant tumours, 3rd edn. Springer, Berlin Heidelberg New York
Tsundoa T, Ura K, Eto T, Matsumoto T, Tsuchiya R (1991) UICC and Japanese stage classifications for carcinoma of the pancreas. Int J Pancreatol 8: 205 - 214.
Tsuchiya R, Harada N, Tsunoda T, Miyamoto T, Ura K (1988) Long-term survivors after operation on carcinoma of the pancreas. Int J Pancreatol 3: 491 - 496.
Manabe T, Baba N, Nonaka A, Asano N, Yamaki K, Shibamoto Y, Takahashi M, Abe M, Tobe T (1988) Combined treatment using radiotherapy for carcinoma of the pancreas involving the adjacent vessels. Int Surg 73: 153 - 156
Mannel A, van Heerden JA, Weiland LH, Ilstrup DM (1986) Factors influencing survival after resection of ductal adenocarcinoma of the pancreas. Ann Surg 203: 403 - 407
Klöppel G (1988) Pancreatic carcinoma: Structural features and biological behavior. Becker V, Hubner K (eds) The pancreas in connection with the epigastric unit. Gustav Fischer, Stuttgart, pp 122 - 136
Tsuchiya R, Tsunoda T, Ishida T, Saitoh Y (1990) Resection for cancer of the pancreas—the Japanese experience. Bailliere's Clin Gastroenterol. 4: 931 - 939
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© 1994 Springer-Verlag Tokyo
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Pour, P.M., Konishi, Y., Klöppel, G., Longnecker, D.S. (1994). Staging for Carcinoma of the Pancreas: Japanese Stage Classification Compared to UICC Stage Classification. In: Pour, P.M., Konishi, Y., Klöppel, G., Longnecker, D.S. (eds) Atlas of Exocrine Pancreatic Tumors. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68311-7_19
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DOI: https://doi.org/10.1007/978-4-431-68311-7_19
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