Evaluation of UICC TNM classification for pancreatic cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1997-04

AUTHORS

Gianpaolo Balzano, Claudio Bassi, Alessandro Zerbi, Massimo Falconi, Giliola Calori, Giovanni Butturini, Biagio E. Leone, Paolo Pederzoli, Valerio Di Carlo

ABSTRACT

CONCLUSION: A different stage grouping of TNM factors can improve the predictivity of the UICC TNM classification for pancreatic cancer. Nevertheless, the Japanese Pancreas Society (JPS) classification maintains a higher prognostic value. BACKGROUND: The use of a reliable staging classification facilitates the evaluation of anticancer treatments and the correct management of patients. The aim of the present study was to evaluate the prognostic value of three modified UICC TNM classifications, obtained by different stage grouping of the UICC TNM factors, comparing their predictivity to the standard UICC and the JPS classifications. METHODS: Clinical material consisted of 228 patients who underwent resection for pancreatic cancer. The reliability of the classifications was analyzed by the following methods: univariate analysis of stage survival curves; multivariate analysis of each classification after adjusting for grading and radicality; and correlation between the patients' distribution in the stages of each classification and in survival classes. RESULTS: The following modified UICC classification allowed a better differentiation of stage II and III survival (P = 0.08) than standard UICC (P = 0.74): stage I: T1N0M0; stage II: T1N1M0/T2N0M0: stage III: T2N1M0/T3 any NM0; stage IV: M1. The JPS classification better discriminated between the different stages (P < 0.001). All classifications had an independent prognostic value by multivariate analysis. The correlation between stages and survival classes was higher for the JPS classification than either UICC TNM classification or the modified UICC classifications. More... »

PAGES

111-118

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02822382

DOI

http://dx.doi.org/10.1007/bf02822382

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050451078

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9209952


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