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Worldwide Esophageal Cancer Collaboration: neoadjuvant pathologic staging data

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收录情况: ◇ SCIE

机构: [1]Cleveland Clin, Cleveland, OH 44106 USA [2]Univ Ziekenhuizen Leuven, Leuven, Belgium [3]Univ Michigan, Ann Arbor, MI 48109 USA [4]Sichuan Univ, West China Hosp, Chengdu, Sichuan, Peoples R China [5]Univ Texas MD Anderson Hosp, Houston, TX USA [6]Univ Queensland, Princess Alexandra Hosp, Brisbane, Qld, Australia [7]Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10021 USA [8]Erasmus MC, Rotterdam, Netherlands [9]Beijing Canc Hosp, Beijing, Peoples R China [10]Guys & St Thomas Hosp, London, England [11]Hop Nord Marseille, Marseille, France [12]Indiana Univ, Med Ctr, Indianapolis, IN USA [13]Univ Pittsburgh, Med Ctr, Pittsburgh, PA USA [14]Univ Chicago, Dept Surg, 5841 S Maryland Ave, Chicago, IL 60637 USA [15]Helsinki Univ Hosp, Helsinki, Finland [16]Univ Med Ctr Utrecht, Utrecht, Netherlands [17]Shanghai Chest Hosp, Shanghai, Peoples R China [18]Univ Buenos Aires, Hosp Clin, Buenos Aires, DF, Argentina [19]Royal Marsden NHS Fdn Trust, London, England [20]Univ Sao Paulo, Sao Paulo, Brazil [21]Univ Alabama Birmingham, Birmingham, AL USA [22]Hosp Univ del Mar, Barcelona, Spain [23]Newcastle Univ, Newcastle Upon Tyne, Tyne & Wear, England [24]Univ Cape Town, Groote Schuur Hosp, Cape Town, South Africa [25]Hebei Med Univ, Hosp 4, Shijiazhuang, Hebei, Peoples R China [26]Mayo Clin, Rochester, MN USA [27]Univ Hong Kong, Queen Mary Hosp, Med Ctr, Hong Kong, Hong Kong, Peoples R China [28]Univ Rochester, Rochester, NY USA [29]Toronto Gen Hosp, Toronto, ON, Canada [30]Fox Chase Canc Ctr, 7701 Burholme Ave, Philadelphia, PA 19111 USA [31]Univ Montreal, Montreal, PQ, Canada [32]Med Univ South Carolina, Charleston, SC USA [33]Oregon Hlth & Sci Univ, Portland, OR 97201 USA [34]Univ Miami, Miami, FL USA [35]Case Western Reserve Univ, Cleveland, OH 44106 USA
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关键词: cancer staging chemotherapy prognostication radiotherapy survival

摘要:
To address uncertainty of whether pathologic stage groupings after neoadjuvant therapy (ypTNM) for esophageal cancer share prognostic implications with pathologic groupings after esophagectomy alone (pTNM), we report datasimple descriptions of patient characteristics, cancer categories, and non-risk-adjusted survivalfor pathologically staged cancers after neoadjuvant therapy from the Worldwide Esophageal Cancer Collaboration (WECC). Thirty-three institutions from six continents submitted data using variables with standard definitions: demographics, comorbidities, clinical cancer categories, and all-cause mortality from first management decision. Of 7,773 pathologically staged neoadjuvant patients, 2,045 had squamous cell carcinoma, 5,686 adenocarcinoma, 31 adenosquamous carcinoma, and 11 undifferentiated carcinoma. Patients were older (61 years) men (83%) with normal (40%) or overweight (35%) body mass index, 0-1 Eastern Cooperative Oncology Group performance status (96%), and a history of smoking (69%). Cancers were ypT0 (20%), ypT1 (13%), ypT2 (18%), ypT3 (44%), ypN0 (55%), ypM0 (94%), and G2-G3 (72%); most involved the distal esophagus (80%). Non-risk-adjusted survival for yp categories was unequally depressed, more for earlier categories than later, compared with equivalent categories from prior WECC data for esophagectomy-alone patients. Thus, survival of patients with ypT0-2N0M0 cancers was intermediate and similar regardless of ypT; survival for ypN+ cancers was poor. Because prognoses for ypTNM and pTNM categories are dissimilar, prognostication should be based on separate ypTNM categories and groupings. These data will be the basis for the 8th edition cancer staging manuals following risk adjustment for patient, cancer, and treatment characteristics and should direct 9th edition data collection.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
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出版当年[2016]版:
Q3 GASTROENTEROLOGY & HEPATOLOGY
最新[2023]版:
Q3 GASTROENTEROLOGY & HEPATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Cleveland Clin, Cleveland, OH 44106 USA [*1]Cleveland Clin, Dept Thorac & Cardiovasc Surg, 9500 Euclid Ave Desk JJ 40, Cleveland, OH 44195 USA
通讯作者:
通讯机构: [1]Cleveland Clin, Cleveland, OH 44106 USA [*1]Cleveland Clin, Dept Thorac & Cardiovasc Surg, 9500 Euclid Ave Desk JJ 40, Cleveland, OH 44195 USA
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