Ch 13 - Larynx Flashcards
Tx
Supraglottis
Primary tumor cannot be assessed
Tis
Supraglottis
Carcinoma in situ
T1
Supraglottis
Tumor limited to one subsite of supraglottis with normal vocal cord mobility
T2
Supraglottis
Tumor invades mucosa of more than one adjacent subsite of supraglottis or glottis or region outside the supraglottis (e .g., mucosa of base of tongue, vallecula, medial wall of pyriforrn sinus) without fixation of the larynx
T3
Supraglottis
Tumor limited to larynx with vocal cord fixation and/or invades any of the following: postcricoid area, preepiglottic space, paraglottic space, and/or inner cortex of thyroid cartilage
T4a
Supraglottis
Moderately advanced local disease
Tumor invades through the outer cortex. of the thyroid cartilage and/or invades tissues beyond the larynx (e.g ., trachea, soft tissues of neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus)
T4b
Supraglottis
Very advanced local disease
Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures
Tx
Glottis
Primary tumor cannot be assessed
Tis
Glottis
Carcinoma in situ
T1
Glottis
Tumor limited to the vocal cord(s) (may involve anterior or posterior commissure) with normal mobility
T1a
Glottis
Tumor limited to one vocal cord
T1b
Glottis
Tumor involves both vocal cords
T2
Glottis
Tumor extends to supraglottis and/or subglottis,
and/or with impaired vocal cord mobility
T3
Glottis
Tumor limited to the larynx with vocal cord
fixation and/or invasion of paraglottic space and/
or inner cortex of the thyroid cartilage
T4a
Glottis
Moderately advanced local disease
Tumor invades through the outer cortex of
the thyroid cartilage and/or invades tissues
beyond the larynx (e.g., trachea, cricoid cartilage,
soft tissues of neck including deep extrinsic
muscle of the tongue, strap muscles, thyroid, or
esophagus)
T4b
Glottis
Tumor invades prevertebral space , encases carotid
artery, or invades mediastinal structures
Tx
Subglottis
Primary tumor cannot be assessed
Tis
Subglottis
Carcinoma in situ
T1
Subglottis
Tumor limited to the subglottis
T2
Subglottis
Tumor extends to vocal cord(s) with normal or
impaired mobility
T3
Subglottis
Tumor limited to larynx with vocal cord fixation
and/or invasion of paraglottic space and/or inner
cortex of the thyroid cartilage
T4a
Subglottis
Moderately advanced local disease
Tumor invades cricoid or thyroid cartilage and/or
invades tissues beyond the larynx (e.g., trachea,
soft tis sues of neck including deep extrinsic
muscles of the tongue, strap muscles, thyroid, or
esophagus)
T4b
Subglottis
Very advanced local disease
Tumor invades prevertebral space, encases carotid
artery, or invades mediastinal structures
cNx
Regional lymph nodes cannot be assessed
cN0
No regional lymph node metastasis
cN1
Metast asis in a single ipsilateral lymph node, 3 cm
or smaller in greatest dimen sion and ENE(-)
cN2a
Metastasis in a single ipsilateral node, larger than
3 cm but not larger than 6 cm in greatest
dimension and ENE(-)
cN2b
Metast ases in multiple ipsilateral nodes, none
larger than 6 cm in greatest dimension and ENE(-)
cN2c
Metastasis in bilateral or contralateral lymph nodes, none larger than 6 cm in greatest dimension and ENE(-)
cN3a
Metastasis in a lymph node, larger than 6 cm in
greatest dimension and ENE(-)
cN3b
Metastasis in any lymph node(s) with clinically
ove rt ENE(+)
pNx
Regional lymph nodes cannot be assessed
pN0
No regional lymph node metastasis
pN1
Metastasis in a single ipsilateral lymph node,
3 cm or smaller in greatest dimension and
ENE(-)
pN2a
Metastasis in a single ipsilateral or contralateral
node, 3 cm or smaller in greatest dimension and
ENE(+);
or metastasis in a single ipsilateral node, larger
than 3 cm but not larger than 6 cm in greatest
dimension and ENE(-)
pN2b
Metastases in multiple ipsilateral nodes, none
larger than 6 cm in greatest dimension and
ENE(-)
pN2c
Metastasis in bilateral or contralateral lymph
nodes, none larger than 6 cm in greatest
dimension and ENE(-)
pN3a
Metastasis in a lymph node, larger than 6 cm in
greatest dimension and ENE(-)
pN3b
Metastasis in a single ipsilateral node, larger
than 3 cm in greatest dimension and ENE(+);
or metastases in multiple ipsilateral,
contralateral, or bilateral lymph nodes and any
with ENE(+)
What is the stage for:
Tis N0 M0
Stage 0
What is the stage for:
T1 N0 M0
Stage I
What is the stage for:
T2 N0 M0
Stage II
What is the stage for:
T3 N0 M0
Stage III
What is the stage for:
T1,2,3 N1 M0
Stage III
What is the stage for:
T4a N0,1 M0
Stage IVA
What is the stage for:
T1,2,3,4a, N2, M0
Stave IVA
What is the stage for:
Any T N3 M0
Stage IVB
What is the stage for:
T4b Any N M0
Stage IVB
What is the stage for:
Any T Any N M1
Stage IVC