Page 156 - Ebook_V01

1. ÃÐÂÐâäẺ TNM

¡ÒÃÅØ¡ÅÒÁËÃ×ÍÃÐÂТͧâäẋ§â´Â㪌Ãкº TNM ÁÒ¨Ò¡ T (Tumor) ¤×Í ¢¹Ò´¡ŒÍ¹,

N (Lymph nodes) ¤×Í µ‹ÍÁ¹íéÒàËÅ×ͧ·ÕèÁÐàÃç§ÅØ¡ÅÒÁä» áÅÐ M (Metastasis) ¤×Í ¡ÒÃá¾Ã‹

¡ÃШÒ¢ͧâä价ÕèÍÇÑÂÇÐÍ×è¹ ÃÐÂÐâäẺ TNM ໚¹¡ÒáÓ˹´ÃÐÂТͧâäẺÁҵðҹ

ÊÒ¡Å·ÑèÇâÅ¡ ¡Ó˹´¢Öé¹â´Â International Union Againt Cancer áÅÐ The American Joint

[1]
Committee on Cancer â´Â¢³Ð¹Õé ËÅÒÂáË‹§Âѧ¤§ãªŒ TNM ©ºÑº·Õè 6 ÍÂÙ‹ ºÒ§áË‹§¨Ð
[2]
à»ÅÕè¹ä»ãªŒ TNM ©ºÑº·Õè 7 «Ö觨ÐäÁ‹ÁÕ MX (äÁ‹ÊÒÁÒö»ÃÐàÁÔ¹¡ÒÃá¾Ã‹¡ÃШÒÂä´Œ) ÍÕ¡µ‹Íä»

ᾷ¨ÐµŒÍ§ÃкØÇ‹ÒÁÕ¡ÒÃá¾Ã‹¡ÃШÒÂáÅŒÇËÃ×ÍäÁ‹

Õ
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µÒÃÒ§·è 1 ÃÐÂТͧâäẋ§â´Â㪌Ãкº TNM ©ºÑº·Õ 6 [1]
T-Primary tumor ¢¹Ò´¢Í§¡ŒÍ¹

TX äÁ‹ÊÒÁÒö»ÃÐàÁÔ¹¡ŒÍ¹ä´Œ

T0 äÁ‹ÁÕËÅÑ¡°Ò¹¢Í§¡ŒÍ¹

Tis ÁÐàÃç§ÃÐÂеŒ¹æ ·ÕèÍÂÙ‹º¹ªÑ鹢ͧà«Åŏ»¡µÔ ÂѧäÁ‹á·Ã¡à¢ŒÒä»

ã¹à¹×éÍàÂ×èÍ»¡µÔ

T1,2,3,4 ¢¹Ò´µ‹Ò§æ ¡Ñ¹¢Í§¡ŒÍ¹¨Ò¡àÅç¡ä»ãËÞ‹

N-Regional µ‹ÍÁ¹íéÒàËÅ×ͧ
Lymph nodes

NX äÁ‹ÊÒÁÒö»ÃÐàÁÔ¹µ‹ÍÁ¹íéÒàËÅ×ͧ䴌

N0 äÁ‹¾ºÁÐàÃç§ã¹µ‹ÍÁ¹íéÒàËÅ×ͧ

N1,2,3 ÁÐàÃç§à¢ŒÒä»ã¹µ‹ÍÁ¹íéÒàËÅ×ͧ (¨Ó¹Ç¹µ‹ÍÁáÅеÓá˹‹§µ‹ÍÁ·Õèá¾Ã‹ä»)

M-Distant Metastasis ¡ÒÃá¾Ã‹¡ÃШÒÂä»ÍÇÑÂÇÐÍ×è¹

MX äÁ‹ÊÒÁÒö»ÃÐàÁÔ¹¡ÒÃá¾Ã‹¡ÃШÒÂä´Œ

M0 äÁ‹¾º¡ÒÃá¾Ã‹¡ÃШÒÂä»ÂѧÍÇÑÂÇÐÍ×è¹

M1 á¾Ã‹¡ÃШÒÂä»ÂѧÍÇÑÂÇÐÍ×è¹

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