為利於國家癌症登記資料庫收錄期別之一致性,國民健康署台灣癌症登記中心委託本醫學會參考期別判定規則,如下表紅字:
目前癌登使用 BCLC 期別版本
|
修訂後 BCLC 期別版本
(自108年起新診斷之肝癌個案適用)
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定義
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Tumor Features
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Child-Pugh Score
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Performance Status Test
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定義
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Tumor Features
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Child-Pugh Score
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Performance Status Test
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Stage 0
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Single £ 2 cm Carcinoma in situ
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Child-Pugh A
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0
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Stage 0
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Single £ 2 cm Carcinoma in situ
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Child-Pugh A
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0-1
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Stage A
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Single £ 5 cm* or
3 nodulars £ 3 cm
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Child-Pugh A-B
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0
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Stage A
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Single £ 5 cm* or
3 nodulars £ 3 cm
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Child-Pugh A-B
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0-1
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Stage B
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Single > 5 cm* or Multinodulars
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Child-Pugh A-B
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0
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Stage B
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Single > 5 cm* or Multinodulars
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Child-Pugh A-B
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0-1
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Stage C
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Portal invasion
N1, M1
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Child-Pugh A-B
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1-2
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Stage C
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Portal invasion
N1, M1
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Child-Pugh A-B
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0-2
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Stage D
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Any
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Child-Pugh C
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3-4
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Stage D
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Any
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Child-Pugh C
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3-4
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* 依據100年8月31日國健署委託國衛院召開肝癌臨床專業諮詢小組會議中已決議:單顆腫瘤不超過5公分(£ 5cm)或至多三個多顆腫瘤不超過3公分(£ 3cm),BCLC期別視為Stage A;單顆腫瘤超過5公分(>5cm),BCLC期別視為Stage B。 |