TY -JOR T1-肺癌分类：新的TNM分类（第四版）JF的首次体验 - 欧洲呼吸杂志JO -EUR RESSIR J SP -1197 LP -1197 LP -1206 VL -4 IS -10 AU -BULZEBRUCK，HAU-Drings，P Au -Kayser，K Au -Schulz，V au -Tuengthal，S au -vogt -Moykopf，i y1-1991/11/11/01 Ur -http：//www.qdcxjkg.com/content/content/4/4/10/1197.Abstract N2- 1987年1月，国际联合癌症（UICC）的第四版针对恶性肺肿瘤的TNM分类生效。因此，首次获得了全球肺癌统一的分期系统。为了验证新的TNM定义针对肺癌的定义，对3,000例患者的数据进行了前瞻性分析。检查了几个项目：1）临床（TNM）与病理（PTNM）确认分类之间的一致性；2）估计病理确认的分类的各种诊断技术的价值；3）TNM定义对分离不同预后组的影响。关于原发性肿瘤（T），临床和病理分类为64％。对于淋巴结受累（N），协议为48％； for distant metastases it was 90% and for the stages it was 55%. As for the primary tumour (T) the accuracy of radiography (59%) was nearly identical to computed tomography (58%). Both techniques were less precise in determining the extent of lymph node involvement (computed tomography 50%, radiography 43%, correct assessments). The statistically significant differences in prognosis for the various T-, N- and M-categories as well as for the stages could be confirmed. By the new 1987 TNM definitions (4th edition) for lung cancer international conformity became feasible as well as practical, and the improvement in its prognostic relevance provided, therefore, a more reliable basis for establishing guidelines for individual oncological concepts of therapy. ER -