The Need for Stages of Cancer

What is the importance of stages of cancer?

Why is there a need to determine cancer stages?

The stage of your tumor at the time of your diagnosis is the most powerful predictor of your survival. Prognosis and treatment depend largely on on it. This is the reason why staging is done and why your doctor must know at what stage your tumor is in.

But bear in mind that although the stages of cancer may be very important in the prognosis and treatment, it is not everything. Prognosis and treatment also depend on 3 things such as. . .

Do all cancer types have stages? Surprisingly, not all types do. Staging can't be used in most types of leukemia because the disease involves the blood and it doesn't form tumors. Examination of the tumor is an important step in determining the extent and the depth of the cancer.

See Facts About Leukemia.

Staging is a complicated process that involves two necessary stages to get the data about the tumor. These are:

1. The clinical stage

This is based on ALL information gathered about the tumor before it is surgically removed. This includes data from endoscopy, physical exam and radiologic exam.

2. The pathologic stage

This provides more information about the tumor after it is removed and is examined under a microscope by a pathologist.

The pathologic stage is usually regarded as the "true" stage because the data used came from direct examination of the tumor. In the clinical stage, data came from examination of the tumor when it was still inside your body.

Which stage is more important?

Both clinical and pathologic stages are important because sometimes a tumor can't be treated with surgery and so, a pathologic staging is not possible.

And also, sometimes a tumor is treated with chemo or radiation before it is removed. The chemo or radiation would shrink the tumor so when it is removed and examined, the findings may not be accurate. This is what happens in cases of inflammatory breast disease where chemo is done first.

See the types of inflammatory breast cancer treatment.

How important is precise staging? It is very important because proper and effective treatment is dependent on staging. Incorrect staging may lead to inappropriate treatment.

But do you know that precise staging can be hard to achieve? The level of precision or correctness depends on two things: the pathologist and the tissue from the tumor.

It can happen that the pathologist may overlook the cancerous cells from the healthy cells. Also, what is examined under the microscope is not the whole tumor itself.

Only some slices of the tissue are checked and it can happen that the slices of tissue the pathologist looks at don't contain the cancerous cells.

But here's a good news: Experts are now developing new methods of staging that are more sensitive to rule out the chances of underestimating any of the 4 stages of cancer.

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