Results of applying the 9th edition TNM classification in the staging assessment of nasopharyngeal carcinoma: first data in Vietnam - Scorecard - MDSpire

Results of applying the 9th edition TNM classification in the staging assessment of nasopharyngeal carcinoma: first data in Vietnam

  • By

  • Dang Nguyen Van

  • Phan Nguyen Huy

  • Hoa Le Thi

  • Viet Hoang Thanh

  • July 15, 2026

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Clinical Scorecard: Evaluation of the 9th Edition TNM Classification for Staging Nasopharyngeal Carcinoma: Initial Findings from Vietnam

At a Glance

CategoryDetail
ConditionNasopharyngeal carcinoma
Key MechanismsChanges in staging classification from the 8th to the 9th edition of the TNM system.
Target PopulationNewly diagnosed patients with nasopharyngeal carcinoma in Vietnam.
Care SettingDepartment of Head and Neck Radiation Oncology, K Hospital

Key Highlights

  • Study included 555 patients with a mean age of 51.8 years.
  • 99.3% of patients had non-keratinizing squamous cell carcinoma, undifferentiated subtype.
  • 88.3% of patients experienced changes in overall stage when reassessed using the 9th edition.
  • The 9th edition TNM classification introduced significant changes in prognostic stratification.
  • The study highlights the impact of staging changes on treatment decisions.

Guideline-Based Recommendations

Diagnosis

  • Histologically confirm nasopharyngeal carcinoma.

Management

  • Consider the 9th edition TNM classification for treatment planning.

Monitoring & Follow-up

  • Regular follow-up and imaging to assess disease progression.

Risks

  • Potential for misclassification of disease stage impacting treatment outcomes.

Patient & Prescribing Data

Newly diagnosed nasopharyngeal carcinoma patients treated at K Hospital.

Treatment decisions may be influenced by changes in staging classification.

Clinical Best Practices

  • Utilize the 9th edition TNM classification for accurate staging.
  • Ensure comprehensive imaging evaluation for staging assessment.
  • Maintain updated treatment protocols in line with the latest TNM classification.

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