diagnosis staging grading Flashcards

1
Q

patient pathway

A
  • screening / signs and symptoms
  • abnormality detected
  • presents to primary healthcare provider
  • investigation —— diagnosis —- staging&grading
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2
Q

staging

A

decides anatomical extent (tumour stage)of tumour

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3
Q

grading

A

decides type of cells within tumour

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4
Q

why are staging and grading used ?

A
  • predict clinical behaviours of malignancies
  • shows appropiate treatment
  • gives clear info between clinicians
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5
Q

aim of staging pt1

A
  • help clinician plan best treatment strategy
  • indicates prognosis
  • helps evaluate the results of treatment
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6
Q

aims of staging pt2

A
  • facilitate exchange of info between tx centres

- contributes to further investigations of cancers

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7
Q

TNM systems is for

A

tumour

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8
Q

TNM seperates patients into categories depending on

A

the size of tumour

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9
Q

TNM is based on 3 components

A

T- extent of primary tumour
N- absence/presence & extent of regional lymph nodes metastasis
M- absence/ presence of distant mestastasis

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10
Q

T0=
Tis=
T1,T2,T3,T4=
TX=

A
  • no evidence of primary tumour
  • carcinoma in situ
  • increasing size &/or local extension of pt
  • pt cant be assessed
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11
Q

T1=

A

less /= 2cm in diameter

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12
Q

t2=

A

between 2 and 4 cm

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13
Q

t3=

A

more than 4cm

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14
Q

t4=

A

tumour evade adjacent structures

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15
Q

N0=

A

no regional lymph node mestastasis

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16
Q

N1,N2,N3

A

increasing no. of extent of regional lymph node involvement

17
Q

Nx

A

pt cannot be assessed

18
Q

M0

A

no distant metastases

19
Q

M1

A

distant metastases present

20
Q

TNM classification

A
  • clinical classification. cTNM or TNM… b4 treatment

- pathologic classification. pTNM… after resection of pt

21
Q

purpose of pTNM

A
  • to determine the diameter of the pt
  • to determine area of invasion& extent of invasion of blood vessels
  • to prove or exclude the involvement of lymph nodes
22
Q

what is aTNM

A

classification of a patients post mortum (autopsy) examination

23
Q

TNM stage grouping
stage 0-
stage I ,II,III-
stage IV

A

=carcinoma in situ
=indicating relatively greater anatomic extent of cancer
=usually cases w/ distant metastases