The IASLC/ITMIG thymic epithelial tumors staging project: Proposal for an evidence-based stage classification system for the forthcoming (8th) edition of the TNM classification of malignant tumors

Frank C. Detterbeck*, Kelly Stratton, Dorothy Giroux, Hisao Asamura, John Crowley, Conrad Falkson, Pier Luigi Filosso, Aletta A. Frazier, Giuseppe Giaccone, James Huang, Jhingook Kim, Kazuya Kondo, Marco Lucchi, Mirella Marino, Edith M. Marom, Andrew G. Nicholson, Meinoshin Okumura, Enrico Ruffini, Paul Van Schil, Peter GoldstrawRamón Rami-Porta, David Ball, David Beer, Ricardo Beyruti, Vanessa Bolejack, Kari Chansky, Wilfried Ernst Erich Eberhardt, John Edwards, Françoise Galateau-Sallé, Fergus Gleeson, Patti Groome, Catherine Kennedy, Laura Kingsbury, Young Tae Kim, Haruhiko Kondo, Mark Krasnik, Kaoru Kubota, Antoon Lerut, Gustavo Lyons, Jan Van Meerbeeck, Alan Mitchell, Takashi Nakano, Anna Nowak, Michael Peake, Thomas Rice, Kenneth Rosenzweig, Valerie Rusch, Nagahiro Saijo, Jean Paul Sculier, Lynn Shemanski, Kenji Suzuki, Yuji Tachimori, Charles F. Thomas, William Travis, Ming S. Tsao, Andrew Turrisi, Johan Vansteenkiste, Hirokazu Watanabe, Yi Long Wu, Paul Baas, Jeremy Erasmus, Seiki Hasegawa, Kouki Inai, Kemp Kernstine, Hedy Kindler, Lee Krug, Kristiaan Nackaerts, Harvey Pass, David Rice, Eugene Blackstone, S. Call Caja, U. Ahmad, F. Detterbeck, N. Girard, Seok Jin Haam, D. R. Gomez, Mi Kyung Bae, P. Ströbel, A. Marx, S. Saita, H. Wakelee, L. Bertolaccini, E. Vallieres, W. Scott, S. Su, B. Park, J. Marks, S. Khella, R. Shen, M. Rosenberg, V. Tomulescu, C. Foroulis, L. Lang-Lazdunski, Andrea Billè, J. G. Maessen, M. Keijzers, H. Van Veer, C. Wright, F. Facciolo, G. Palmieri, C. Buonerba, M. Ferguson, G. Marulli, P. Loehrer, M. Kalkat, K. Rohrberg, G. Daugaard, A. Toker, S. Erus, M. Kimmich, A. Brunelli, M. Refai, A. Nicholson, E. Lim, In Kyu Park, J. Wagner, B. Tieu, Wentao Fang, Jie Zhang, Zhentao Yu, Yongtao Han, Yin Li, Keneng Chen, Gang Chen, Kanji Nagai, Yoshitaka Fujii, Jun Nakajima, Norihiko Ikeda, Shuji Haraguchi, Takamasa Onuki, Ichiro Yoshino, Masanori Tsuchida, Shoji Takahashi, Kohei Yokoi, Masayuki Hanyuda, Hiroshi Niwa, Hiroshi Date, Yoshimasa Maniwa, Shinichiro Miyoshi, Akinori Iwasaki, Tatsuro Okamoto, Takeshi Nagayasu, Fumihiro Tanaka, Minoru Suzuki, Kazuo Yoshida, Yusuke Okuma, Hirotoshi Horio, Akihide Matsumura, Masahiko Higashiyama, Hiroshi Suehisa, Takuya Onuki, Yoshifumi Sano, Keishi Kondo, K. Al Kattan, R. Cerfolio, C. Gebitekin, D. Gomez De Antonio, K. H. Kernstine, N. Altorki, N. Novoa, M. Scarci, L. Voltolini, W. Weder, Wojciech Zurek, A. Arame, C. Casadio, P. Carbognani, G. Donati, S. Keshavjee, W. Klepetko, B. Moser, C. Lequaglie, Moishe Liberman, M. Mancuso, M. Nosotti, L. Spaggiari, P. A. Thomas, E. Rendina, F. Venuta, M. Anile, J. Schützner, G. Rocco

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

328 Scopus citations

Abstract

A universal and consistent stage classification system, which describes the anatomic extent of a cancer, provides a foundation for communication and collaboration. Thymic epithelial malignancies have seen little progress, in part because of the lack of an official system. The International Association for the Study of Lung Cancer and the International Thymic Malignancies Interest Group assembled a large retrospective database, a multispecialty international committee and carried out extensive analysis to develop proposals for the 8th edition of the stage classification manuals. This tumor, node, metastasis (TNM)-based system is applicable to all types of thymic epithelial malignancies. This article summarizes the proposed definitions of the T, N, and M components and describes how these are combined into stage groups. This represents a major step forward for thymic malignancies.

Original languageEnglish
Pages (from-to)S65-S72
JournalJournal of Thoracic Oncology
Volume9
Issue number9
DOIs
StatePublished - 1 Jan 2014
Externally publishedYes

Keywords

  • Prognosis
  • Stage classification
  • Staging
  • Thymic carcinoma
  • Thymoma

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