Feasibility of the new TNM classification on the evaluation of progression degree of tongue squamous cell carcinomas:

DOI Web Site 1 References Open Access
  • Yoshida Shoko
    Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Department of Dentistry and Oral Surgery, Ako Central Hospital
  • Kishimoto Koji
    Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Murase Yurika
    Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Ibaragi Soichiro
    Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Yoshioka Norie
    Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Okui Tatsuo
    Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Nagatsuka Hitoshi
    Department of Oral Pathology and Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Sasaki Akira
    Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Bibliographic Information

Other Title
  • 舌扁平上皮癌における新TNM分類(UICC:第8版)の実用性 第2報
  • The second report
  • —正誤表に準拠—

Abstract

The UICC TNM classification is based on criteria for evaluating the progress of oral cancer. In the 8th edition published in 2016, the depth of invasion (DOI) in T classification and the extra nodal extension (ENE) in N classification were introduced. We evaluated for TNM classification of the cases of tongue squamous cell carcinoma who underwent surgery according to the 7th and 8th editions, and reported the practicality of the matter in the Journal of Japanese Society of Oral Oncology. In addition, UICC published an errata in 2018, and T2, T3 and T4 have been corrected. In this study, 107 cases of tongue squamous cell carcinoma that underwent surgery at our department were evaluated for the corrected TNM classification. <br>According to the errata, one case was changed from T3 to T2, and three cases were changed from T3 to T4a. Compared with the 7th edition, the rate of cases of cervical lymph node metastasis decreased in T1 and increased in T2, with similar results to the 8th edition. The survival rate decreased as the T stage increased, as in the 8th edition. In addition, since pStage was changed along with the change of pT, the survival rate decreased as the stage increased.<br>The corrected 8th edition TNM classification faithfully reflects the progress in the cervical lymph node metastasis and survival rate, and it was considered to be practical.

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