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on that so thank you for that as well so here I am only get myself settled here the new AJCC staging is about to begin actually the AJCC staging the AJCC staging was done in conjunction with the UICC many expert panels we'll get into that in a moment about exactly what that's all about and let me tell you up front I've been fighting a little cold so I hope that doesn't get in the way of this talk and secondly this is dry information I'd like to make it a little interactive if anyone has any questions as we move through this please stop me and we can chat about it very briefly and then again at the end we'll save a little bit of time for questions so some of this I'm going to go relatively quickly but I think many of you know and have highlighted why revise the TNM staging system in in essence the molecular data has an impact on treatment of cancers of cancer and so one must incorporate that into the staging schemes about every five to seven years the new manuals come up this particular

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