原创力文档- 1、本文档共20页，可阅读全部内容。
- 2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
- 3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
- 5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
- 6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
- 7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 8、VIP文档为合作方或网友上传，每下载1次， 网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
AJCC Staging Moments AJCC TNM Staging 7th Edition Colon Case #1 Colon Case # 1 Presentation of New Case Newly diagnosed colon cancer patient Presentation at Cancer Conference for treatment recommendations and clinical staging Colon Case # 1 History Physical 51 yr old female who presented with an abnormal screening colonoscopy Family history of colon ca Colon Case # 1 Imaging Endoscopy Results Colonoscopy-1.5cm pedunculated polyp at 60cm in transverse colon CT abd/pelvis-negative Colon Case # 1 Diagnostic Procedure Procedure Polypectomy, transverse colon at 60cm Pathology Report Adenocarcinoma Grade 2-3 Invasion into lamina propria Stalk margins widely free, clear by 4mm Colon Case # 1 Clinical Staging Clinical staging Uses information from the physical exam, imaging, and diagnostic biopsy Purpose Select appropriate treatment Estimate prognosis Colon Case # 1 Clinical Staging Synopsis- patient with 1.5cm pedunculated polyp resected on screening colonoscopy, nodes negative on imaging What is the clinical stage? T____ N____ M____ Stage Group______ Colon Case # 1 Clinical Staging Clinical Stage correct answer pTis cN0 cM0 Stage Group 0 Based on stage, treatment is selected Review NCCN treatment guidelines for this stage Colon Case # 1 Clinical Staging Rationale for staging choices pTis Invasion of lamina propria Pathologic since the stalk margin was clear cN0 because nodes were clinically negative on imaging cM0 because there was nothing to suggest distant metastases; if there was, appropriate tests would be performed before developing a treatment plan Prognostic Factors Clinically Significant Applicable to this case Pre-op or Pre-Rx CEA: not done There are no prognostic factors required for staging Colon Case # 1 Presentation after Surgery Patient had polypectomy during their screening colonoscopy This patient was recommended for observation only, no further treatment Colon Case # 1 Pathologic Staging Pathologic staging Uses informati
文档评论（0）