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EDITORIAL The Seventh Tumor, Node, Metastasis Staging System and Lung Cancer Treatment Choices A Matter of Would, Could, and Should Johan F. Vansteenkiste, MD, PhD,* and Frances A. Shepherd, MD, PhD† he Seventh edition of the tumor, node, metastasis (TNM) classification of lung Tneoplasms (TNM7) has been in use since January 1, 2010. This is the result of the hitherto unprecedented work of the International Staging Committee of the International Association for the Study of Lung Cancer (IASLC) led by Mr. Peter Goldstraw. Based on more than 100,000 case records, changes to TNM6 were proposed and validated. The effort was rewarded by adoption of the new classification by both the American Joint Committee on Cancer and the Union Internationale Contre le Cancer and resulted in a 2 3 “seismic shift in lung cancer staging.” Most of the changes were in the T category ; the M1 category was adapted to M1a and M1b, whereas there were essentially no changes in the N categories. In this issue of Journal of Thoracic Oncology, Boffa et al. report on a study they performed to evaluate how much clinicians feel that a change in stage should lead to a change in management for
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Nov 1, 2010
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