The International Association for the Study of Lung Cancer Thymic Tumors Staging Project: The impact of the eighth edition of the Union for International Cancer Control and American Joint Committee on Cancer TNM stage classification of thymic tumors Journal Article


Authors: Ruffini, E.; Fang, W.; Guerrera, F.; Huang, J.; Okumura, M.; Kim, D. K.; Girard, N.; Billè, A.; Boubia, S.; Cangir, A. K.; Detterbeck, F.; Falkson, C.; Filosso, P. L.; Giaccone, G.; Kondo, K.; Infante, M.; Lucchi, M.; Marino, M.; Marom, E. M.; Nicholson, A. G.; Rimner, A.; Rami-Porta, R.; Asamura, H.; the Staging Prognostic Factors Committee; the Staging and Prognostic Factors-Thymic Domai, Subcommittee; the Staging and Prognostic Factors Subcommittees; the Members of the Advisory Boards
Contributors: Rusch, V.; Travis, W. D.; Rocco, G.; Adsusmilli, P.
Article Title: The International Association for the Study of Lung Cancer Thymic Tumors Staging Project: The impact of the eighth edition of the Union for International Cancer Control and American Joint Committee on Cancer TNM stage classification of thymic tumors
Abstract: Objectives: The International Association for the Study of Lung Cancer Staging and Prognostic Factors Committee-Thymic Domain conducted a web-based cross-sectional survey to assess the acceptance of the TNM thymic staging system in the thoracic community. Methods: A 50-item, web-based questionnaire was circulated among the members of the major thymic organizations worldwide from September to December 2018. The survey consisted of six sections (general information; overall perception of the TNM system; pretreatment staging; T category; N category; and perioperative treatments). Results: In total, 217 responses were collected from 37 countries in four continents. The TNM classification was considered useful by 78% of the responders (N = 169); the Masaoka-Koga staging system was being used by 87% of the responders (N = 189). With regard to the T category, most responders (mostly surgeons) felt that the capsular and mediastinal pleural involvements should be considered separate T categories. As for the N category, 48% of the responders (N = 105) used the International Thymic Malignancies Interest Group/International Association for the Study of Lung Cancer thymic nodal map, and lymph node dissection (N1/N2) was performed for 50%/21% thymomas and 66%/41% thymic carcinomas. While analyzing the results by the three continents (Europe, Asia, and Americas), responders in Asia were found to report the largest use of the TNM system, the greatest attention to the N category, and the best participation in international thymic databases. Conclusions: The survey indicates that the Union for International Cancer Control/American Joint Committee on Cancer TNM stage classification of thymic tumors is gaining acceptance among the scientific community. The present results will guide the work of the Staging and Prognostic Factors Committee-Thymic Domain for the revision of the ninth edition of the TNM stage classification of thymic tumors. © 2019 International Association for the Study of Lung Cancer
Keywords: cancer staging; lymph node dissection; health survey; data base; europe; questionnaire; medical information; surgeon; cross-sectional study; perioperative period; asia; thymoma; health care organization; thymic carcinoma; thymus cancer; perception; survey; tnm; thymic tumors; western hemisphere; human; priority journal; article
Journal Title: Journal of Thoracic Oncology
Volume: 15
Issue: 3
ISSN: 1556-0864
Publisher: Elsevier Inc.  
Date Published: 2020-03-01
Start Page: 436
End Page: 447
Language: English
DOI: 10.1016/j.jtho.2019.11.013
PUBMED: 31783179
PROVIDER: scopus
DOI/URL:
Notes: Article -- Contributor Prasad Adusumilli's last name is misspelled as per article supplement PDF -- Export Date: 1 April 2020 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Valerie W Rusch
    865 Rusch
  2. James Huang
    214 Huang
  3. William D Travis
    743 Travis
  4. Andreas Rimner
    525 Rimner
  5. Gaetano Rocco
    131 Rocco