Annual Report 05 - International Union Against Cancer
Annual Report 05 - International Union Against Cancer
Annual Report 05 - International Union Against Cancer
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University of Lagos chaired the opening<br />
ceremony, which was followed by<br />
a guest lecture on the clinical uses of<br />
immunohistochemistry. The workshop<br />
was well covered by national television<br />
and print media. For the practicing<br />
histopathologists, there was an<br />
Better together<br />
Assessing the organizational needs of cancer<br />
patient groups in Croatia and Romania<br />
<strong>Cancer</strong> patient groups provide<br />
much-needed services to cancer<br />
patients and their families, but their<br />
activities are rarely recorded or<br />
assessed. To support the development<br />
of effective and sustainable cancer<br />
patient groups, particularly in<br />
resource-constrained countries, the<br />
UICC conducted a pilot project with<br />
selected groups in Romania and<br />
Croatia.<br />
TNM<br />
<strong>Cancer</strong> staging is an essential element<br />
in classifying and measuring the<br />
anatomic extent of disease. This<br />
measurement is elementary in evaluating<br />
the effectiveness of our intervention.<br />
Shifts in stage are the earliest<br />
indication of effective screening and<br />
early detection programmes, evaluation<br />
of the impact of practice guidelines,<br />
and quality of care.<br />
In 1953, the UICC adopted the<br />
TNM classification of malignant<br />
tumours created by Pierre Denoix.<br />
Today, TNM (tumour-node-metastasis)<br />
is the global standard for cancer<br />
staging. Through the TNM classification<br />
project led by Dr Leslie Sobin<br />
and Dr Mary Gospodarowicz, the<br />
additional slide session on liver and<br />
gastrointestinal pathology. A smaller<br />
workshop on gynaecological<br />
cytopathology ran concurrently.<br />
The impact of the workshop will<br />
be seen in improved standards of<br />
practice and research and better<br />
Based on a series of interviews and<br />
observations, the researchers evaluated<br />
the capabilities of each group and<br />
made specific recommendations to<br />
increase their capacity.<br />
Better Together, a UICC report<br />
published in August 2008 summarized<br />
the findings of the pilot project<br />
and can help build the capacity of<br />
patient groups in south-eastern<br />
Europe and beyond.<br />
UICC reviews and regularly updates<br />
the TNM Classification of Malignant<br />
Tumours, the TNM Atlas, the TNM<br />
Supplement, and Prognostic Factors in<br />
<strong>Cancer</strong>.<br />
Working across the world<br />
requires engagement while paying<br />
attention to the expertise and published<br />
evidence. For the classification<br />
to be adopted, opinion leaders’<br />
engagement and acceptance is<br />
essential.<br />
The sixth edition of the TNM<br />
Classification of Malignant Tumours was<br />
published in 2002. A seventh edition<br />
is in preparation and is planned for<br />
publication at the end of 2009.<br />
Connecting, mobilizing, supporting<br />
patient care. Most participating institutions<br />
have now begun to use the<br />
techniques of immunohistochemistry<br />
and liquid based cytopathology. A<br />
laboratory in Lagos will also serve<br />
other centres in Nigeria.<br />
“The UICC has a long and rich tradition in developing cancer<br />
staging classification. It has demonstrated consistent commitment<br />
to internationally acceptable, evidence- and consensusbased<br />
staging classification relevant to both cancer control and<br />
clinical use.”<br />
Mary Gospodarowicz, Princess Margaret Hospital, Toronto,<br />
Canada<br />
33<br />
Offering strong support