7.1 Staging of lung cancer

Question 1

What is meant by Tx?

Answer 1

Tumour in sputum/bronchial washings but not to be assessed in iamging or bronchoscopy

Question 2

What is meant by T0?

Answer 2

No evidence of tumour

Question 3

What is meant by T1?

Answer 3

T1- carcinoma <3cm, not involving main bronchus

Question 4

What is meant by T2?

Answer 4

3-5cm
or involvement of the main bronchus
or invasion of visceral pleura
or atelectasis (closed lung)

Question 5

What is meant by T3?

Answer 5

5-7cm in greatest dimension

or tumour of any size that involves chest wall, pericardium, phrenic nerve or satellite nodules in the same lobe

Question 6

What is meant by T4?

Answer 6

> 7cm in greatest dimension

or any tumour that invades diaphragm, heart, great vessels……..

Question 7

What is meant by N1

Answer 7

Ipsilateral peribronchial and or hilar and intrapulmonary nodes

Question 8

What is meant by N2

Answer 8

Ipsilateral mediastinal or subcarinal nodes

Question 9

What is meant by N3

Answer 9

Contralateral as above

Ipsilateral scalene/supraclavicular

Question 10

What is meant by M1

Answer 10

Distant metastasis