Retrospective Cohort Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Oncol. Nov 10, 2018; 9(7): 148-161
Published online Nov 10, 2018. doi: 10.5306/wjco.v9.i7.148
Comparison of the eighth version of the American Joint Committee on Cancer manual to the seventh version for colorectal cancer: A retrospective review of our data
Guo-Jun Tong, Gui-Yang Zhang, Jian Liu, Zhao-Zheng Zheng, Yan Chen, Ping-Ping Niu, Xu-Ting Xu
Guo-Jun Tong, Gui-Yang Zhang, Jian Liu, Zhao-Zheng Zheng, Yan Chen, General Surgery Department, Huzhou Central Hospital, Huzhou 313000, Zhejiang Province, China
Guo-Jun Tong, Ping-Ping Niu, Xu-Ting Xu, Central Laboratory, Huzhou Central Hospital, Huzhou 313000, Zhejiang Province, China
Author contributions: Tong GJ, Zhang GY, Liu J, and Zheng ZZ provided vital reagents and analytical tools and edited the manuscript; Chen Y, Niu PP, and Xu XT coordinated and provided the collection of all the human material; Tong GJ and Zhang GY designed the study and wrote the manuscript.
Institutional review board statement: The study was reviewed and approved by Huzhou Central Hospital Review Board.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
STROBE statement: The STROBE Statement has been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Gui-Yang Zhang, BS, Professor, General Surgery Department, Huzhou Central Hospital, Hongqi Road No. 198, Huzhou 313000, Zhejiang Province, China. kjk6616@126.com
Telephone: +86-572-2555387 Fax: +86-572-2555803
Received: May 22, 2018
Peer-review started: May 23, 2018
First decision: July 9, 2018
Revised: August 30, 2018
Accepted: October 9, 2018
Article in press: October 9, 2018
Published online: November 10, 2018
Core Tip

Core tip: Since the promulgation of the eighth edition of the American Joint Committee on Cancer staging system manual (AJCC-8th), it has attracted the attention of many clinicians around the world and guided clinical work. Using our institution data we explored the prognostic differences between AJCC-8th and the seventh edition of the AJCC manual (AJCC-7th) for colorectal cancer. We found that patients with stage IVC colorectal cancer have a worse prognosis. This shows that peritoneal metastasis has a worse prognosis than organ metastasis. Considering many prognostic factors, individualized treatment is particularly important to improve the survival time of stage IV patients, especially stage IVC patients.