食管癌的新分期 JG

1、 AJCC_6th AJCC_7th食管鏡下距離門齒距離食管鏡下距離門齒距離Anatomic nameEsophageal LocationAnatomic boundariesTypicalesophagectomyCervicalUpperHypopharynx to sternal notch15 to 20 cmThoracicUpperSternal notch to azygos vein20 to 25 cmMiddleLower border of azygos vein to inferior pulmonary vein25 to 30 cmLowerLower borde

2、r of inferior pulmonary vein to esophagogastric junction30 to 40 cmAbdominalLowerEsophagogastric junction to 5 cm below esophagogastric junction4045 cmEG junction/CardiaEsophagogastric junction to 5 cm below esophagogastric junction4045 cmCT下分段下分段奇靜脈弓左下肺靜脈右下肺靜脈左下肺靜脈右下肺靜脈AJCC_6thAJCC_7thTX：原發(fā)腫瘤不能確定：原

3、發(fā)腫瘤不能確定TX：同左：同左T0：無原發(fā)腫瘤證據(jù)：無原發(fā)腫瘤證據(jù)T0：同左：同左Tis：原位癌：原位癌Tis：高度不典型增生：高度不典型增生T1：腫瘤侵及黏膜固有層或：腫瘤侵及黏膜固有層或 黏膜下層黏膜下層T1a：腫瘤侵及黏膜固有層：腫瘤侵及黏膜固有層T1b：腫瘤侵及黏膜下層：腫瘤侵及黏膜下層T2：腫瘤侵及固有肌層：腫瘤侵及固有肌層T2：同左：同左T3：腫瘤侵及纖維膜：腫瘤侵及纖維膜T3：同左：同左T4：腫瘤侵及鄰近器官：腫瘤侵及鄰近器官T4a：腫瘤侵及胸膜、心包、膈肌：腫瘤侵及胸膜、心包、膈肌T4b：腫瘤侵及氣管、椎體、大血管：腫瘤侵及氣管、椎體、大血管等等HCD取代Tis將Tl進一步細分

4、為T1a和T1bAJCC_6thAJCC_7thNX：區(qū)域淋巴結(jié)無法確定：區(qū)域淋巴結(jié)無法確定NX：同左：同左N0：無區(qū)域淋巴結(jié)轉(zhuǎn)移：無區(qū)域淋巴結(jié)轉(zhuǎn)移N0：同左：同左N1：有區(qū)域淋巴結(jié)轉(zhuǎn)移：有區(qū)域淋巴結(jié)轉(zhuǎn)移 N1：區(qū)域淋巴結(jié)轉(zhuǎn)移為：區(qū)域淋巴結(jié)轉(zhuǎn)移為1-2枚枚N2：區(qū)域淋巴結(jié)轉(zhuǎn)移為：區(qū)域淋巴結(jié)轉(zhuǎn)移為3-6枚枚N3：區(qū)域淋巴結(jié)轉(zhuǎn)移為：區(qū)域淋巴結(jié)轉(zhuǎn)移為7枚枚MX：遠處轉(zhuǎn)移不能確定：遠處轉(zhuǎn)移不能確定MX：同左：同左M0：無遠處轉(zhuǎn)移：無遠處轉(zhuǎn)移M0：同左：同左M1a：鎖上：鎖上(上段上段)或腹腔或腹腔(下段下段)M1b：其它遠處轉(zhuǎn)移：其它遠處轉(zhuǎn)移M1：遠處轉(zhuǎn)移：遠處轉(zhuǎn)移頸段頸段胸上段胸上段胸中段胸中段胸下段胸下段Regional lymph nodes extend from periesophageal cervical nodes to celiac NodesN1：區(qū)域淋巴結(jié)轉(zhuǎn)移為：區(qū)域淋巴結(jié)轉(zhuǎn)移為1-2枚枚N2：區(qū)域淋巴結(jié)轉(zhuǎn)移為：區(qū)