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Japanese Journal of Clinical Oncology 13:361-370 (1983)
© 1983 Foundation for Promotion of Cancer Research

research-article

The Proposed Japanese TNM Classification of Primary Liver Carcinoma in Infants and Children

KEN MORITA, M.D.1,, IKUO OKABE, M.D.1, JUNICHI UCHINO, M.D.2, ITARU WATANABE, M.D.3, MAKOTO IWABUCHI, M.D4, SHIRO MATSUYAMA, M.D.5, HIDEYO TAKAHASHI, M.D.6, TOSHIO NAKAJO, M.D.7, YOSHINORI HIRAI, M.D.8, YOSHIAKI TSUCHIDA, M.D.9, KEIZO KATSUMATA, M.D.10, HIROSHI HASEGAWA, M.D.11, TOSHIHARU NISHI, M.D.12, EIZO OKAMOTO, M.D.13 and KEIICHI IKEDA, M.D.14

1First Department of Surgery, Nihon University
2First Department of Surgery. Hokkaido University
3Second Department of Surgery. Tohoku University
4Department of Pediatric Surgery, Niigata University
5First Department of Surgery, Gunma University
6Department of Pediatric Surgery, Chiba University
7Department of Surgery National Pediatric Hospital
8Department of Pediatric Surgery, Juntendo University
9Department of Pediatric Surgery, Tokyo University
10Department of Surgery, Keio University
11Department of Surgery, National Cancer Center
12Department of Surgery, Kanagawa Medical Center for Children
13First Department of Surgery. Hyogo Medical College
14Department of Pediatric Surgery. Kyushu University

Reprint requests: Prof. K. Morita, First Department of Surgery, Nihon University School of Medicine, 30 Oyaguchi Kamimachi, Itabashi-ku, Tokyo, Japan.

Received February 25, 1983; The TNM classifications of neuroblastoma, nephroblastoma and soft tissue sarcoma were adopted at the International Conference for TNM Classification (UICC) held in May 1980. There is no TNM system under contemplation, however, for primary liver carcinoma in childhood.

Accordingly, we have formulated the proposed Japanese TNM system for this carcinoma in children and examined its validity in 136 cases of hepato-blastoma seen in the listed 14 institutions.

The basic policy of the Committee on the Japanese TNM Classification is not to include the resectability of the tumor and regional lymph nodes or any other status of the disease resulting from therapeutic intervention as a component of the pTNM system. This is a feature which makes our proposed system widely divergent from the accepted classification scheme for the three types of tumor cited above.


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