upstaging

English translation: reclassification from one clinical stage to a higher one

13:33 Oct 22, 2004
Spanish to English translations [PRO]
Medical - Mechanics / Mech Engineering / oncology
Spanish term or phrase: upstaging
How long is the time necessary for upstaging in the prognosis of head and neck cancer...
It is on a paper titled "Upstaging in the prognosis of head and neck cancer" about the influence of time delay and clinical upstaging

Can anyone give me a hand please? Thank you.
Martin Harvey
Argentina
English translation:reclassification from one clinical stage to a higher one
Explanation:
High Harvey. I am guessing from the question that you want an English explanation of this. Basically, this is a process whereby the clinical 'stage' at which a patient is diagnosed is 'upgraded' to a higher one, essentially meaning that the condition has progressed, or is worse than previously thought. In many cases you will see that a patient was 'upstaged' based on results of clinical tests, i.e. the tests showed that it was worse than thought before the test.

The following gives an illustration -

Clinical Case Overview - Patient History:
Diffuse large cell lymphoma of the neck, non-bulky, clinical Stage 1 after CT scans. Normally would be treated with reduced number of CHOP cycles, followed by involved field radiation therapy with high chance of cure.
Why PET was ordered:
PET was ordered to evaluate for other sites of disease
PET Findings:
PET showed uptake in the supraclavicular area on the other side of the neck, upstaging to Stage II. The CT was negative in this area.
Patient Treatment Management Change:
The upstaging to stage II required a full course of six cycles of chemotherapy without radiation instead of a fewer number of courses of chemotherapy with radiation.
The reduced number of chemo cycles with involved field radiation therapy is very effective with stage I large cell lymphoma, but a few people still relapse. This patient may well have relapsed as stage I because the PET identified a site of disease that would have been outside the radiation field.
http://www.usoncology.com/videos/Cole/right.html

--------------------------------------------------
Note added at 5 days (2004-10-27 17:09:49 GMT)
--------------------------------------------------

Sorry Harvey, you should have put this as English>Spanish. The term you are looking for, I\'m fairly sure, is reestadificar. This said, it appears not to be widely used in Spanish.
Selected response from:

n/a (X)
Grading comment
Thanks a lot. You've been most helpful.
4 KudoZ points were awarded for this answer



Summary of answers provided
4reclassification from one clinical stage to a higher one
n/a (X)


Discussion entries: 2





  

Answers


1 hr   confidence: Answerer confidence 4/5Answerer confidence 4/5
reclassification from one clinical stage to a higher one


Explanation:
High Harvey. I am guessing from the question that you want an English explanation of this. Basically, this is a process whereby the clinical 'stage' at which a patient is diagnosed is 'upgraded' to a higher one, essentially meaning that the condition has progressed, or is worse than previously thought. In many cases you will see that a patient was 'upstaged' based on results of clinical tests, i.e. the tests showed that it was worse than thought before the test.

The following gives an illustration -

Clinical Case Overview - Patient History:
Diffuse large cell lymphoma of the neck, non-bulky, clinical Stage 1 after CT scans. Normally would be treated with reduced number of CHOP cycles, followed by involved field radiation therapy with high chance of cure.
Why PET was ordered:
PET was ordered to evaluate for other sites of disease
PET Findings:
PET showed uptake in the supraclavicular area on the other side of the neck, upstaging to Stage II. The CT was negative in this area.
Patient Treatment Management Change:
The upstaging to stage II required a full course of six cycles of chemotherapy without radiation instead of a fewer number of courses of chemotherapy with radiation.
The reduced number of chemo cycles with involved field radiation therapy is very effective with stage I large cell lymphoma, but a few people still relapse. This patient may well have relapsed as stage I because the PET identified a site of disease that would have been outside the radiation field.
http://www.usoncology.com/videos/Cole/right.html

--------------------------------------------------
Note added at 5 days (2004-10-27 17:09:49 GMT)
--------------------------------------------------

Sorry Harvey, you should have put this as English>Spanish. The term you are looking for, I\'m fairly sure, is reestadificar. This said, it appears not to be widely used in Spanish.

n/a (X)
Native speaker of: Native in EnglishEnglish
PRO pts in category: 4
Grading comment
Thanks a lot. You've been most helpful.
Login to enter a peer comment (or grade)



Login or register (free and only takes a few minutes) to participate in this question.

You will also have access to many other tools and opportunities designed for those who have language-related jobs (or are passionate about them). Participation is free and the site has a strict confidentiality policy.

KudoZ™ translation help

The KudoZ network provides a framework for translators and others to assist each other with translations or explanations of terms and short phrases.


See also:

Your current localization setting

English

Select a language

Term search
  • All of ProZ.com
  • Term search
  • Jobs
  • Forums
  • Multiple search