Journal
JOURNAL OF THORACIC ONCOLOGY
Volume 9, Issue 9, Pages S81-S87Publisher
ELSEVIER SCIENCE INC
DOI: 10.1097/JTO.0000000000000291
Keywords
Staging; Prognosis; Thymoma; Thymic carcinoma; Stage classification
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Stage classification is an important underpinning of management of patients with cancer, and rests on a combination of three components: T for tumor extent, N for nodal involvement, and M for more distant metastases. This article details an initiative to develop proposals for the first official stage classification system for thymic malignancies for the 8th edition of the stage classification manuals. Specifically, the results of analysis of a large database and the considerations leading to the proposed N and M components are described. Nodal involvement is divided into an anterior (N1) and a deep (N2) category. Metastases can involve pleural or pericardial nodules (M1a) or intraparenchymal pulmonary nodules or metastases to distant sites (M1b).
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