ASO Author Reflections: Incorporating Lymphovascular Invasion to Improve the Prognostic Reliability of the T-Staging System for Adrenocortical Carcinoma—A Multicenter Study

  • Caroline E. Poorman
  • Cecilia G. Ethun
  • Shishir K. Maithel
ASO Author Reflections



The authors have no conflicts of interest to disclose.


  1. 1.
    Lughezzani G, et al. The European Network for the Study of Adrenal Tumors staging system is prognostically superior to the International Union Against Cancer-staging system: a North American validation. Eur J Cancer. 46, 713–719, (2010).CrossRefPubMedGoogle Scholar
  2. 2.
    Fassnacht M, et al. Limited prognostic value of the 2004 International Union Against Cancer staging classification for adrenocortical carcinoma: proposal for a revised TNM classification. Cancer. 115, 243–250, (2009).CrossRefPubMedGoogle Scholar
  3. 3.
    Asare EA, et al. A novel staging system for adrenocortical carcinoma better predicts survival in patients with stage I/II disease. Surgery. 156, 1378–1385; discussion 1385–1376, (2014).CrossRefGoogle Scholar
  4. 4.
    Amin MB, et al. The Eighth Edition AJCC Cancer Staging Manual: Continuing to build a bridge from a population-based to a more “personalized” approach to cancer staging. CA Cancer J Clin. 67, 93–99, (2017).Google Scholar
  5. 5.
    Nilubol N, Patel D, and Kebebew E. Does lymphadenectomy improve survival in patients with adrenocortical carcinoma? A population-based study. World J Surg. 40, 697–705, (2016).CrossRefPubMedGoogle Scholar
  6. 6.
    Poorman CE, Ethun CG, Postlewait LM, et al. A novel T-stage classification system for adrenocortical carcinoma: Proposal from the US Adrenocortical Carcinoma Study Group. Ann Surg Oncol. 25, 520–527 (2018).CrossRefGoogle Scholar

Copyright information

© Society of Surgical Oncology 2018

Authors and Affiliations

  • Caroline E. Poorman
    • 1
  • Cecilia G. Ethun
    • 1
  • Shishir K. Maithel
    • 1
  1. 1.Division of Surgical Oncology, Winship Cancer InstituteEmory UniversityAtlantaGeorgia

Personalised recommendations