IASLC Lung Cancer Staging Project: The new database to inform revisions in the ninth edition of the TNM classification of lung cancer Review


Authors: Asamura, H.; Nishimura, K. K.; Giroux, D. J.; Chansky, K.; Hoering, A.; Rusch, V.; Rami-Porta, R.; Members of the IASLC Staging and Prognostic Factors Committee and of the Advisory Boards, and Participating Institutions
Contributors: Huang. J.; Rimner, A.; Travis, W. D.; Chang, J.; Rekhtman, N.; Rocco, G.; Simone, C. B. 2nd; Sauter, J.
Review Title: IASLC Lung Cancer Staging Project: The new database to inform revisions in the ninth edition of the TNM classification of lung cancer
Abstract: In the past 20 years, the International Association for the Study of Lung Cancer (IASLC) has been working on a global project to revise the TNM classification of lung cancer. The first and second phases of the staging projects proposed recommendations for revision of the TNM classification, which were adopted by the Union for International Cancer Control and the American Joint Committee on Cancer as their seventh and eighth editions of the TNM classifications of lung cancer. For the third phase of the IASLC Staging Project, a new database of lung cancer cases diagnosed between January 2011 and December 2019 has been established. The Staging and Prognostic Factors Committee of the IASLC is in charge of the process of proposing new recommendations. The newly established database consisted of 124,581 cases. The data were obtained from Asia and Australia (56.0%), Europe (24.7%), North America (15.7%), South/Central America (3.4%), and Africa and the Middle East (0.1%). After cases with incomplete data are excluded, 87,043 cases were enrolled in the analysis, of which 52,069 (59.8%) were invasive adenocarcinoma and 15,872 (18.2%) were squamous cell carcinoma. Both clinical and pathologic stages were available in 44,831 (51.5%) cases. Analyses of this database are expected to provide proposals for changing the TNM classification toward the ninth edition, which is scheduled to be in use in January 2024. This newly established global database on lung cancer is described to provide fundamental elements for revisions of the TNM rules for staging lung cancer. © 2023 International Association for the Study of Lung Cancer
Keywords: staging; lung cancer; small cell lung cancer; tnm classification; non–small cell lung cancer; lung cancer databases
Journal Title: Journal of Thoracic Oncology
Volume: 18
Issue: 5
ISSN: 1556-0864
Publisher: Elsevier Inc.  
Date Published: 2023-05-01
Start Page: 564
End Page: 575
Language: English
DOI: 10.1016/j.jtho.2023.01.088
PUBMED: 36773775
PROVIDER: scopus
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in PubMed and PDF -- Source: Scopus
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MSK Authors
  1. Natasha Rekhtman
    434 Rekhtman
  2. Valerie W Rusch
    869 Rusch
  3. William D Travis
    749 Travis
  4. Andreas Rimner
    527 Rimner
  5. Jason Chih-Peng Chang
    142 Chang
  6. Jennifer Lynn Sauter
    129 Sauter
  7. Charles Brian Simone
    195 Simone
  8. Jennie Huang
    8 Huang