Jass staging is a predictor of outcome following 'curative' resection of Dukes' B colorectal carcinoma

摘要

Background and Aims: We have sought to determine if the addition of the Jass pathological classification to Dukes' staging would provide improved prognostic information for patients undergoing curative surgery for Dukes' B colorectal carcinoma. Patients and Methods: One hundred and eighty three patients who underwent curative surgery for Dukes' B colorectal cancers between December 1988 and January 1998 were identified. An assessment of Jass scoring was made at the time of initial histological staging. All patients entered a comprehensive follow-up system. Results: Jass grouping was found to correlate significantly with cancer specific mortality rates; group Ⅲ having a worse prognosis than groups Ⅰ and Ⅱ (p< 0.005). There was no significant difference between either local recurrence or systemic recurrence and the Jass group. Conclusion: The Jass classification provides additional prognostic information in patients following curative resection of Dukes' B colorectal carcinoma and may therefore facilitate the selection of patients who will benefit most from adjuvant treatment.