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Staging for Carcinoma of the Pancreas: Japanese Stage Classification Compared to UICC Stage Classification

  • Parviz M. Pour
  • Yoichi Konishi
  • Günter Klöppel
  • Daniel S. Longnecker

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.

Keywords

Pancreatic Cancer Patient Stage Classification Portal Vein Invasion Stage Classi Japan Pancreas Society 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    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 - 84Google Scholar
  2. 2.
    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 - 657PubMedCrossRefGoogle Scholar
  3. 3.
    Leadbetter A, Foster RS Jr, Haines CR (1975) Carcinoma of the pancreas. Results from the Vermont tumor registry. Am J Surg 129: 356-360Google Scholar
  4. 4.
    Cancer of the Pancreas Task Force (1981) Staging of cancer of the pancreas. Cancer 47: 1631 - 1637CrossRefGoogle Scholar
  5. 5.
    Fortner JG (1984) Regional pancreatectomy for cancer of the pancreas, ampulla, and other related sites. Tumor staging and results. Ann Surg 199: 418 - 425PubMedCrossRefGoogle Scholar
  6. 6.
    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.CrossRefGoogle Scholar
  7. 7.
    Klapdor R (1986) TNM-Klassification, Staging und Prognose des Pankreaskarzinomas. Dtsch med Wschr 111: 229 - 233PubMedGoogle Scholar
  8. 8.
    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 - 674Google Scholar
  9. 9.
    Japan Pancreas Society (1986) General rules for surgical and pathological studies on cancer of the pancreas (in Japanese). 3rd edn. Kanehara, TokyoGoogle Scholar
  10. 10.
    UICC (1987) TNM classification of malignant tumors, 4th fully rev edn. Springer, Berlin Heidelberg New YorkGoogle Scholar
  11. 11.
    UICC (1989) TNM atlas. Illustrated guide to the TNM/pTNM-classification of malignant tumours, 3rd edn. Springer, Berlin Heidelberg New YorkGoogle Scholar
  12. 12.
    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.Google Scholar
  13. 13.
    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.PubMedGoogle Scholar
  14. 14.
    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 - 156PubMedGoogle Scholar
  15. 15.
    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 - 407CrossRefGoogle Scholar
  16. 16.
    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 - 136Google Scholar
  17. 17.
    Tsuchiya R, Tsunoda T, Ishida T, Saitoh Y (1990) Resection for cancer of the pancreas—the Japanese experience. Bailliere's Clin Gastroenterol. 4: 931 - 939PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1994

Authors and Affiliations

  • Parviz M. Pour
    • 1
  • Yoichi Konishi
    • 2
  • Günter Klöppel
    • 3
  • Daniel S. Longnecker
    • 4
  1. 1.The Eppley Institute for Research in Cancer; Department of Pathology and MicrobiologyUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Department of Oncological Pathology, Cancer CenterNara Medical CollegeKashihara, NaraJapan
  3. 3.Department of Pathology, Academy Hospital JetteFree University of BrusselsBrusselsBelgium
  4. 4.Department of PathologyDartmouth Medical SchoolHanoverUSA

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