Lymph Node Metastasis in Colorectal Cancer

被引:117
|
作者
Jin, Ming [1 ]
Frankel, Wendy L. [2 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, Dept Pathol, 5305E Rhodes Hall,450 West 10th Ave, Columbus, OH 43210 USA
[2] Ohio State Univ, Wexner Med Ctr, Dept Pathol, 129 Hamilton Hall,1645 Neil Ave, Columbus, OH 43210 USA
关键词
Colon cancer; Metastatic lymph node; Staging; Tumor deposit; Micrometastasis; Lymph node ratio; Rectal cancer; Neoadjuvant treatment effect; PERICOLONIC TUMOR DEPOSITS; COLON-CANCER; PROGNOSTIC-FACTOR; PREOPERATIVE CHEMORADIOTHERAPY; VENOUS INVASION; RECTAL-CANCER; 7TH EDITION; RATIO; STAGE; IMPACT;
D O I
10.1016/j.soc.2017.11.011
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Pathologic examination of lymph nodes in patients with cancer remains crucial for postoperative treatment and prognosis prediction. In this article, the authors aim to review several important and challenging issues regarding lymph node metastasis in colorectal cancer using the AJCC staging manual, College of American Pathologists cancer protocol, as well as the literature. These topics include lymph node staging, the definition and controversies in tumor deposits, isolated tumor cells in lymph node and micrometastasis, lymph node ratio as a prognostic stratification factor, and neoadjuvant treatment effect in rectal cancer. Updates from the most recent AJCC 8th edition are included.
引用
收藏
页码:401 / +
页数:14
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