A critical review of classification systems for colorectal cancer

摘要: After a chronological overview of the various staging systems for colorectal cancer, presented in an effort to demonstrate reasons current state confusion, four different (Dukes. Astler and Coller, ACPS, TNM) were compared 791 patients treated at some stage their disease Parma University’s Institute Surgery. Life survival table analysis was used examine according each system. From commonly utilised, Dukes’system modified by emerges as best reference model now available. The system can be fine-tuned certain extent, order improve its predictive value, taking into account number lymph nodes affected tumour; further improvement is also foreseeable, above all use genetic variables. However, no classification correct, if it not accompanied accurate pre-operative diagnosis thorough post-operative histological study.