是否 "一刀切"?反思外阴癌的 FIGO 侵袭深度测量。

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY International Journal of Gynecological Pathology Pub Date : 2024-09-01 Epub Date: 2024-02-02 DOI:10.1097/PGP.0000000000001009
Maaike C G Bleeker, Tjalling Bosse, Koen K van de Vijver, Joost Bart, Hugo Horlings, Trudy G N Jonges, Nicole C M Visser, Loes F S Kooreman, Johan Bulten, Patricia C Ewing-Graham
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引用次数: 0

摘要

浸润深度(DOI)是外阴癌患者的一个重要诊断参数,1 毫米的临界值在很大程度上决定了肿瘤的分期和腹股沟手术的必要性。DOI的测量应具有可重复性且简单明了。鉴于国际妇产科联盟(FIGO)2021年分期系统对如何测量DOI提出了新的建议,我们对目前外阴癌DOI的测量方法进行了一项探索性研究。在这项针对 26 个选定病例的研究中,10 位在日常工作中接触外阴癌病例较多的病理学家对传统 DOI 方法(FIGO 2009)和替代 DOI 方法(FIGO 2021)的适用性和偏好进行了评估。在这组病例中,根据 FIGO 2009 测量 DOI 被普遍认为比根据 FIGO 2021 测量更易于应用,分别有 76.9% 和 38.5% 的病例将其适用性评为 "易于合理"(P=0.005)。14例首选 FIGO 2009 或肿瘤厚度法,6例首选 FIGO 2021。1例首选无侵犯。在其余 5 个病例中,一半病理学家选择了 FIGO 2009 方法,一半选择了 FIGO 2021 方法。虽然事实证明 FIGO 2009 方法在大多数研究病例中更容易应用,但每个病例的方法可能都不尽相同。对于所有外阴癌病例,可能没有 "一刀切 "的解决方案。
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Does "One Size Fits All"? Rethinking FIGO Depth of Invasion Measurements in Vulvar Cancer.

Depth of invasion (DOI) is an important diagnostic parameter in patients with vulvar carcinoma, where a cutoff value of 1 mm largely determines the tumor stage and the need for groin surgery. DOI measurement should be reproducible and straightforward. In light of the new recommendation on how to measure DOI in the International Federation of Gynecology and Obstetrics (FIGO) staging system 2021, an exploratory study was conducted on the current practice of DOI measurement in vulvar cancer. In this study of 26 selected cases, 10 pathologists with high exposure to vulvar cancer cases in daily practice assessed both the conventional (FIGO 2009) and alternative (FIGO 2021) DOI methods for applicability and preference. In this set of cases, the DOI measurement according to FIGO 2009 was generally considered easier to apply than the measurement according to FIGO 2021, with applicability being rated as "easy to reasonable" in 76.9% versus 38.5% of cases, respectively ( P =0.005). The preferred method was FIGO 2009 or tumor thickness in 14 cases and FIGO 2021 in 6 cases. No invasion was preferred in 1 case. For the remaining 5 cases, half of the pathologists opted for the FIGO 2009 method and half for the FIGO 2021 method. Although the FIGO 2009 method proved to be more readily applicable in most of the cases studied, the method may differ for each case. There may not be a "one size fits all" solution for all cases of vulvar cancer.

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来源期刊
CiteScore
3.90
自引率
12.50%
发文量
154
审稿时长
6-12 weeks
期刊介绍: International Journal of Gynecological Pathology is the official journal of the International Society of Gynecological Pathologists (ISGyP), and provides complete and timely coverage of advances in the understanding and management of gynecological disease. Emphasis is placed on investigations in the field of anatomic pathology. Articles devoted to experimental or animal pathology clearly relevant to an understanding of human disease are published, as are pathological and clinicopathological studies and individual case reports that offer new insights.
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