The official designation is now pTwtfpT??? and pN??? are still allowed though
You are sadly correct. This goes for all committee-based organizations (I’m looking at you NCCN). Beyond T, N, M classification, stage grouping has 2 purposes: prognostification and treatment grouping. Period. Quick, can anyone tell me the difference between a 2c or 3b gastric cancer? I bet I treat as many gastric cancers as almost any US rad onc and I couldn’t tell you the answer. I also bet you know how you would treat them and a good guesstimate of their expected survival without knowing the nitty gritty details. So why does the complex stage grouping even exist in this context?I feel like every member of the AJCC board deems it necessary to justify their position by making some annoying/confusing/esoteric change to the staging of cancer, often for no good reason.
Esophageal staging can go straight to hell.You are sadly correct. This goes for all committee-based organizations (I’m looking at you NCCN). Beyond T, N, M classification, stage grouping has 2 purposes: prognostification and treatment grouping. Period. Quick, can anyone tell me the difference between a 2c or 3b gastric cancer? I bet I treat as many gastric cancers as almost any US rad onc and I couldn’t tell you the answer. I also bet you know how you would treat them and a good guesstimate of their expected survival without knowing the nitty gritty details. So why does the complex stage grouping even exist in this context?
Has anyone figured out breast yetEsophageal staging can go straight to hell.
esophagus has always been cTsendtoradonc and cTdon'tsendtoradonc.Esophageal staging can go straight to hell.
For one poster in particularesophagus has always been cTsendtoradonc and cTdon'tsendtoradonc.
though that's more or less all cancer staging.
AJCC Emoji edition
pT previously X
pT previously 0
pT previously 1
pT previously 2
pT previously 3
pT previously 4
Remmeber: Breast is the worst. Always.Has anyone figured out breast yet
You are sadly correct. This goes for all committee-based organizations (I’m looking at you NCCN). Beyond T, N, M classification, stage grouping has 2 purposes: prognostification and treatment grouping. Period. Quick, can anyone tell me the difference between a 2c or 3b gastric cancer? I bet I treat as many gastric cancers as almost any US rad onc and I couldn’t tell you the answer. I also bet you know how you would treat them and a good guesstimate of their expected survival without knowing the nitty gritty details. So why does the complex stage grouping even exist in this context?
Typically I only treat the people who start periop chemo and have poor/no pathological responses to FLOT or are unresectable/refuse surgery. For the former we (me and the 2 oncologists who specialize in gastric) just don’t see the point in continuing fairly toxic chemo if the tumor shows you it more or less doesn’t care. It’s not usually something we are planning from the start. are talking <10 people per year. A small fraction of our total gastric population.
Esophageal staging can go straight to hell.
Breast is the worstest! I’ve said this for over 10 years now and it’s only getting worster(it’s worse then worst).Has anyone figured out breast yet