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Lymph Node Evaluation in Colon Cancer

Lymph Node Evaluation in Colon Cancer Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. Assessing the Link Between Quality Indicators and Quality of superficial skin infection compared with standard Sandra L. Wong, MD, MS practices. Adherence to quality indicators may not improve patient outcomes and, in fact, may result in HE CENTRAL TENETS OF CANCER STAGING ARE unintended harm. accuracy, prognostic significance, and therapeu- In this issue of JAMA, Parsons and colleagues report tic implications. For solid tumors, accurate can- on the association between lymph node counts for colon Tcer staging is highly dependent on the evaluation cancer, node positivity, and cancer survival. Using data of sufficient numbers of regional lymph nodes to ensure from the Surveillance, Epidemiology, and End Results that positive nodes, if present, will be detected. Positive (SEER) program, the authors examined the relationship nodes are markers for disease spread and therefore for between the increasing number of lymph nodes evaluated patients with a higher risk of recurrence and metastatic and findings of node positivity following resection for disease. Staging influences treatment decisions because colon cancer. Over a 20-year period, there has been a sig- adjuvant chemotherapy for patients with positive lymph http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Lymph Node Evaluation in Colon Cancer

JAMA , Volume 306 (10) – Sep 14, 2011

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Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2011.1318
pmid
21917585
Publisher site
See Article on Publisher Site

Abstract

Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. Assessing the Link Between Quality Indicators and Quality of superficial skin infection compared with standard Sandra L. Wong, MD, MS practices. Adherence to quality indicators may not improve patient outcomes and, in fact, may result in HE CENTRAL TENETS OF CANCER STAGING ARE unintended harm. accuracy, prognostic significance, and therapeu- In this issue of JAMA, Parsons and colleagues report tic implications. For solid tumors, accurate can- on the association between lymph node counts for colon Tcer staging is highly dependent on the evaluation cancer, node positivity, and cancer survival. Using data of sufficient numbers of regional lymph nodes to ensure from the Surveillance, Epidemiology, and End Results that positive nodes, if present, will be detected. Positive (SEER) program, the authors examined the relationship nodes are markers for disease spread and therefore for between the increasing number of lymph nodes evaluated patients with a higher risk of recurrence and metastatic and findings of node positivity following resection for disease. Staging influences treatment decisions because colon cancer. Over a 20-year period, there has been a sig- adjuvant chemotherapy for patients with positive lymph

Journal

JAMAAmerican Medical Association

Published: Sep 14, 2011

References