Cancer of the Esophagus and Esophagogastric Junction: An Eighth Edition Staging Primer

Thomas W. Rice, Hemant Ishwaran, Mark K. Ferguson, Eugene H. Blackstone, Peter Goldstraw

Research output: Contribution to journalArticlepeer-review

149 Scopus citations

Abstract

This primer for eighth edition staging of esophageal and esophagogastric epithelial cancers presents separate classifications for the clinical (cTNM), pathologic (pTNM), and postneoadjuvant pathologic (ypTNM) stage groups, which are no longer shared. For pTNM, pT1 has been subcategorized as pT1a and pT1b for the subgrouping pStage I adenocarcinoma and squamous cell carcinoma. A new, simplified esophagus-specific regional lymph node map has been introduced. Undifferentiated histologic grade (G4) has been eliminated; additional analysis is required to expose histopathologic cell type. Location has been removed as a category for pT2N0M0 squamous cell cancer. The definition of the esophagogastric junction has been revised. ypTNM stage groups are identical for both histopathologic cell types, unlike those for cTNM and pTNM.

Original languageEnglish (US)
Pages (from-to)36-42
Number of pages7
JournalJournal of Thoracic Oncology
Volume12
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • AJCC/UICC eighth edition staging
  • Esophageal cancer
  • Esophagogastric cancer
  • Staging

ASJC Scopus subject areas

  • Oncology
  • Pulmonary and Respiratory Medicine

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