Now processing ... 
 Now searching ... 
 Now loading ... 

転移性小腸腫瘍に占める原発臓器の症例数およびその割合(%)

n=23,740
出典
imgimg
1: Report on a workshop convened to discuss the pathological and staging classifications of gastrointestinal tract lymphoma.
著者: A Rohatiner, F d'Amore, B Coiffier, D Crowther, M Gospodarowicz, P Isaacson, T A Lister, A Norton, P Salem, M Shipp
雑誌名: Ann Oncol. 1994 May;5(5):397-400.
Abstract/Text: It was considered timely to review the pathological and staging classifications of GI tract lymphoma. This meeting specifically did not address the question of treatment; the management of GI tract lymphoma could perhaps form the basis for a further workshop. The following recommendations were made: to adopt the Isaacson histological classification, that all patients with GI tract lymphoma be investigated uniformly, to record the prognostic factors described above, to use the staging classification shown above. It is hoped that these recommendations will be taken into account in the design of future clinical trials of therapy for GI tract lymphoma.
Ann Oncol. 1994 May;5(5):397-400.

10万人あたりの新規症例・死亡率

出典
img
1: [https://seer.cancer.gov/statfacts/html/smint.html SEER Cancer Stat Facts: Small Intestine Cancer. National Cancer Institute. Bethesda, MD.]

大腸癌取扱い規約の病期分類(第9版)

出典
img
1: 大腸癌研究会編:大腸癌取扱い規約 第9版 p.96.金原出版,2018年

ステージ分類(遠隔転移・リンパ節転移・壁進達度による)

出典
img
1: 大腸癌研究会編:大腸癌取扱い規約 第9版 p.19 表3.金原出版,2018年

小腸腫瘍の病期

出典
img
1: American Joint Committee on Cancer. Small Intestine. In: AJCC Cancer Staging Manual. 8th ed. New York, NY: Springer; 2017:221-234.

TNM臨床分類

出典
img
1: UICC日本委員会TNM委員会:TNM悪性腫瘍の分類 第8版 日本語版 p.67-69.金原出版,2017年.

GISTのリスク分類

参考文献:
Diagnosis of gastrointestinal stromal tumors: A consensus approach. Hum Pathol. 2002 May;33(5):459-65. doi: 10.1053/hupa.2002.123545. PMID: 12094370.
Gastrointestinal stromal tumors: pathology and prognosis at different sites. Semin Diagn Pathol. 2006 May;23(2):70-83. doi: 10.1053/j.semdp.2006.09.001. PMID: 17193820.
Risk stratification of patients diagnosed with gastrointestinal stromal tumor. Hum Pathol. 2008 Oct;39(10):1411-9. doi: 10.1016/j.humpath.2008.06.025. PMID: 18774375.
Validation of the Joensuu risk criteria for primary resectable gastrointestinal stromal tumour - the impact of tumour rupture on patient outcomes. Eur J Surg Oncol. 2011 Oct;37(10):890-6. doi: 10.1016/j.ejso.2011.06.005. Epub 2011 Jul 7. PMID: 21737227.
出典
img
1: [http://www.jsco-cpg.jp/item/03/index.html 日本癌治療学会:GIST診療ガイドライン第3版:金原出版,2014年.表1,2,3]

WHO分類(2019)

出典
imgimg
1: The 2019 WHO classification of tumours of the digestive system.
Histopathology. 2020 Jan;76(2):182-188. doi: 10.1111/his.13975. Epub 2019 Nov 13.

カプセル内視鏡画像

小腸癌
出典
img
1: (東大病院消化器内科)

ダブルバルーン内視鏡

オーバーチューブと内視鏡の先端にそれぞれバルーンが付属しており、それぞれを交互に膨張、脱気させながら深部腸管への挿入を行う。経口的アプローチ、経肛門的アプローチの両方向からのアプローチが可能であるが、初回のアプローチで到達可能最深部に点墨などのマークを付け、次のアプローチで逆方向からそれを確認することで全小腸の観察が可能となる。小腸腫瘍検査に際しては、事前の画像診断に基づき病変の位置を推測しておき、経口的あるいは経肛門的のどちらのアプローチを選択するか決定しておく。経口アプローチに際しては前日夜からの絶食、経肛門アプローチに際しては大腸内視鏡に準じた前処置が必要となる。ダブルバルーン内視鏡は鉗子口を備えているため組織の生検や熱凝固、クリップによる止血、ポリペクトミーなどの治療も可能である。さらに、鉗子口を用いて造影を行うことで、造影所見を得ることも可能である。高度の癒着症例や大きな病変近傍の屈曲の強い部分では、観察が困難に終わることも多い。
出典
img
1: 富士フイルム株式会社EN-450P5/20

ダブルバルーン内視鏡画像

小腸癌
出典
img
1: (東大病院消化器内科)

改訂Ann Arbor 分類

ホジキンおよび非ホジキンリンパ腫の臨床病期(Ann Arbor分類)
出典
imgimg
1: Staging and classification of lymphoma.
著者: Ping Lu
雑誌名: Semin Nucl Med. 2005 Jul;35(3):160-4. doi: 10.1053/j.semnuclmed.2005.02.002.
Abstract/Text: In 2004, new cases of non-Hodgkin's lymphoma in the United States were estimated at 54,370, representing 4% of all cancers and resulting 4% of all cancer deaths, and new cases of Hodgkin's lymphoma were estimated at 7,880. The appropriate staging and management of lymphomas greatly depend on an accurate pathological diagnosis and classification. The recently established Revised European-American Classification of Lymphoid Neoplasms (REAL) and the subsequently adopted and updated World Health Organization (WHO) classification include modern cytogenetic, molecular, and immunologic techniques and knowledge and reach an international consensus on the classification of lymphomas. This classification scheme represents an advance in our understanding of lymphomas and serves as an operative guideline for studying and diagnosing lymphomas. Imaging techniques always have served as staging and monitoring tools for the clinical management of lymphomas. The understanding and adoption of the current classification system is important in refining the role of imaging modalities in the management of specific lymphoma. To help one understand the current classification, this current review gives a brief history of lymphoma classifications and summaries the recent classification schemes, including new entities, clinical staging methods, and clinical prognostic criteria.
Semin Nucl Med. 2005 Jul;35(3):160-4. doi: 10.1053/j.semnuclmed.2005.0...

消化管悪性リンパ腫の病気分類(Lugano国際会議分類)

消化管悪性リンパ腫に特化した病気分類で最近はこれが使用されることが多い。
出典
imgimg
1: Report on a workshop convened to discuss the pathological and staging classifications of gastrointestinal tract lymphoma.
著者: A Rohatiner, F d'Amore, B Coiffier, D Crowther, M Gospodarowicz, P Isaacson, T A Lister, A Norton, P Salem, M Shipp
雑誌名: Ann Oncol. 1994 May;5(5):397-400.
Abstract/Text: It was considered timely to review the pathological and staging classifications of GI tract lymphoma. This meeting specifically did not address the question of treatment; the management of GI tract lymphoma could perhaps form the basis for a further workshop. The following recommendations were made: to adopt the Isaacson histological classification, that all patients with GI tract lymphoma be investigated uniformly, to record the prognostic factors described above, to use the staging classification shown above. It is hoped that these recommendations will be taken into account in the design of future clinical trials of therapy for GI tract lymphoma.
Ann Oncol. 1994 May;5(5):397-400.

GISTの治療方針

外科切除可能なものは基本的に外科切除が施行される。系統的リンパ節郭清の必要性は証明されていない。
出典
img
1: 日本癌治療学会、日本胃癌学会、GIST研究会 編:GIST診療ガイドライン 第3版 2014年、金原出版

GIST 外科治療の原則

第1選択は外科的完全切除であり、イマチニブの術前使用にあたっては、有効性の確認を必要とする臨床試験レベルの治療であることに注意。
出典
img
1: 日本癌治療学会、日本胃癌学会、GIST研究会 編:GIST診療ガイドライン 第3版 2014年、金原出版

転移性小腸腫瘍に占める原発臓器の症例数およびその割合(%)

n=23,740
出典
imgimg
1: Report on a workshop convened to discuss the pathological and staging classifications of gastrointestinal tract lymphoma.
著者: A Rohatiner, F d'Amore, B Coiffier, D Crowther, M Gospodarowicz, P Isaacson, T A Lister, A Norton, P Salem, M Shipp
雑誌名: Ann Oncol. 1994 May;5(5):397-400.
Abstract/Text: It was considered timely to review the pathological and staging classifications of GI tract lymphoma. This meeting specifically did not address the question of treatment; the management of GI tract lymphoma could perhaps form the basis for a further workshop. The following recommendations were made: to adopt the Isaacson histological classification, that all patients with GI tract lymphoma be investigated uniformly, to record the prognostic factors described above, to use the staging classification shown above. It is hoped that these recommendations will be taken into account in the design of future clinical trials of therapy for GI tract lymphoma.
Ann Oncol. 1994 May;5(5):397-400.

10万人あたりの新規症例・死亡率

出典
img
1: [https://seer.cancer.gov/statfacts/html/smint.html SEER Cancer Stat Facts: Small Intestine Cancer. National Cancer Institute. Bethesda, MD.]