Share This Article:

The ORC Patient/Tumor Classification—A New Approach: A New Challenge with Special Consideration for the Lung

Abstract Full-Text HTML Download Download as PDF (Size:70KB) PP. 172-175
DOI: 10.4236/jct.2011.22021    4,837 Downloads   7,825 Views   Citations

ABSTRACT

Purpose: The development of malignancy is a life changing concern for many individuals. The classification of the tumor alone does not adequately take into consideration the patient’s physical condition. Thus, a system to classify both the patient and the tumor has been followed-the ORC system. Method: Additional information regarding the patient and their health has been followed by most physicians but not systematically categorized. By using the individuals health information in addition to the TNM classification one can more adequately advise the patient. Thus O-operability, R-resectability, and C-curability are all considered and more appropriately define the patient and his/her tumor condition. Results: The patient’s physical condition must be acceptable for the treatment-whether surgical or nonsurgical. Pulmonary, cardiac, muscular, renal or other disease entities must not be so severe as to prevent treatment (operability). The lesion should be in a location and of a size to afford possible excision-resectability, and the tumor should be potentially curable in order to justify major intervention. Thus, by combining the patient’s specific health status as well as the tumor characteristics (TNM) a better clarification of the treatment, the options, and the prognosis are delineated. Conclusion: When a patient is seen with a tumor-malignant or benign, therapeutic considerations must include the individual’s health status as well as the tumor prior to determining the treatment. Therefore, a system to consider both the health and the tumor is proposed-the ORC system.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

R. Dieter Jr., G. Kuzycz, R. Dieter III and R. Dieter, "The ORC Patient/Tumor Classification—A New Approach: A New Challenge with Special Consideration for the Lung," Journal of Cancer Therapy, Vol. 2 No. 2, 2011, pp. 172-175. doi: 10.4236/jct.2011.22021.

References

[1] Y.-C. Lee, C.-T. Wu, S.-W. Kuo, Y.-T. Tseng and Y.-L. Chang, “Significance of Extranodal Extension of Regional Lymph Nodes in Surgically Resected Non-Small Cell Lung Cancer,” Chest, Vol. 131, No. 4, April 2007, pp. 993-998. doi:10.1378/chest.06-1810
[2] D. J. Barnes, “The Staging System for Non-Small Cell Lung Cancer, Time for an Overhaul? (Editorial),” Chest, Vol. 131, No. 4, April 2007, pp. 948-949. doi:10.1378/chest.06-3126
[3] K. Kameyama, C. Huang, D. Liu, T. Okamoto, E. Hayashi, Y. Wamota and H. Wokomise, “Problems Related to TNM Staging: Patients with Stage III Non-Small-Cell Lung Cancer,” Journal of Thoracic Cardiovascular Surgery, Vol. 124, No. 3, September 2002, pp. 503-510. doi:10.1067/mtc.2002.123810
[4] M. Paci, G. Sgarbi, G. Ferrari, S. DeFranco and V. Annessi, “Controversies over UICC-TNM Classification of Non-Small Cell Lung Cancer, Model for a Diagnostic Path (Letter to the Editor),” Chest, Vol. 122, No. 2, August 2002, p. 754.
[5] M. Chang, S. Mentzer, Y. Colson, P. Linden, M. Jaklitsch, S. Lipsitz and D. Sugarbaker, “Factors Predicting Poor Survival after Resection of Stage IA Non-Small-Cell Lung Cancer,” Journal Thoracic and Cardiovascular Surgery, Vol. 134, October 2007, pp. 850-856. doi:10.1016/j.jtcvs.2007.03.044
[6] P. D. Kiernan, M. J. Sheridan, J. Lamberti, T. Lorusso, V. Hutrick, B. Vaughan and P. Grailing, “Late Stage (III and IV) Non-Small-Cell Lung Cancer, Results of Surgical Resection at Inova Fairfax Hospital,” Southern Medical Journal, Vol. 98, No. 11, November 2005, pp. 1088-1094.
doi:10.1097/01.smj.0000177344.48950.65
[7] R. A. Dieter, G. Kuzycz and R. Dieter, “The ORC Concept,” Presentation: European Federation Meeting Int’l College Surgeons, Antalya, October 2007.

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.