A preliminary study on the consistency between the non-surgical staging and the surgical-pathological staging in oesophageal carcinoma

Autor: Zhi-Chao Fu, Hui-Hua Cheng, Gui-Shan Lin, Hua-Chun Luo
Rok vydání: 2012
Předmět:
Zdroj: Interactive CardioVascular and Thoracic Surgery. 15:344-347
ISSN: 1569-9285
1569-9293
Popis: OBJECTIVES: To evaluate the consistency between the clinical staging of non-surgically treated oesophageal carcinoma (preliminary draft) and the surgical–pathological staging of the oesophageal carcinoma. METHODS: Comprehensive clinical data from 112 patients with oesophageal cancer were collected from January 2009 to June 2010. Based on the clinical staging standard for oesophageal carcinomas treated with non-surgical methods, the preoperative TNM staging was performed and the results were compared with pTNM. The Kappa statistic was used to analyse the degree of consistency. RESULTS: The Kappa values from the T staging, N staging and TNM staging of surgical–pathological results were 0.545, 0.615 and −0.090, respectively. CONCLUSIONS: Consistency was observed between the non-surgical T staging and N staging and the postoperative pathological T staging and N staging, but the degree of consistency was only moderate. Additionally, no consistency was observed between the TNM staging results from the two staging systems. Whether the non-surgical staging system can replace the pathological staging system and its significance in evaluating the prognosis remain to be determined.
Databáze: OpenAIRE