Lung Cancer Staging

Question 1

N1

Answer 1

Меtaѕtаsis in ipsilateral peribronchial and/or ipsilateral hilar lymph node(s) and intrapulmonary nodes

Question 2

N2

Answer 2

Меtаstаѕis in ipsilateral mediastinal and/or subcarinal lymph node(s)

Question 3

N3

Answer 3

Меtaѕtаѕiѕ in contralateral mediastinal, contralateral hilar, ipsilateral or contralateral scalene, or supraclavicular lymph node(s)

Question 4

T1a (Size)

Answer 4

</= 1cm

Question 5

T1b (Size)

Answer 5

</= 2cm

Question 6

T1c (Size)

Answer 6

</= 3

Question 7

T2a (Size)

Answer 7

</= 4

Question 8

T2b (Size)

Answer 8

</= 5cm

Question 9

T3 (Size)

Answer 9

</=7cm

Question 10

T4 (Size)

Answer 10

> 7cm

Question 11

T2a and T2b (location)

Answer 11

Lung
- bronchus/hilum
- visceral pleura
- atelectasis/pneumonitis (b/c obs)

Question 12

T1 (location)

Answer 12

Surrounded by lung or visceral pleura (NO invasion more proximal than lobar bronchus)

Question 13

T3 Location

Answer 13

3 places:
- 3 looks like p–> pericarditis and phrenic nerve
- 2 3s together looks like 2 nodules in same lobe
- Chest wall

Question 14

T4 Location

Answer 14

midline (mediastinum and spine)
diaphragm

Question 15

IIIa (TNM)

Answer 15

T3-4 N1 (T4, N0)
T1-2 N2

Question 16

T3-4, N1 (stage)

Answer 16

IIIa

Question 17

T1-2, N2 stage

Answer 17

IIIa

Question 18

IIb

Answer 18

T1-2, N1 (T3, N0)

Question 19

IIa (TN)

Answer 19

T2b, N0

Question 20

IIIb (TNM)

Answer 20

T3-4, N2
T1-2, N3

Question 21

IIIc (TNM)

Answer 21

T3-4, N3

Question 22

IV a

Answer 22

T3-4, N3, Ma-b (single met)

Question 23

IV b

Answer 23

T3-4, N3, Mc (multiple mets)

Question 24

T3-4, N3, Ma-b (single met) stage

Answer 24

IVa

Question 25

T3-4, N3, Mc (multiple mets) Stage

Answer 25

IVb

Question 26

T3-4, N3, M0 Stage

Answer 26

IIIc

Question 27

T3-4, N2, M0 Stage

Answer 27

IIIb

Question 28

T1-2, N3, M0 Stage

Answer 28

IIIb

Question 29

Ib (TNM)

Answer 29

T2a, N0, M0

Question 30

Ia3

Answer 30

T1c, N0, M0

Question 31

Ia2

Answer 31

T1b, N0, M0

Question 32

Ia1

Answer 32

T1a, N0, M0

Question 33

Small cell staging - limited

Answer 33

Curable
one hemithorax, mediastinum or supraclavicular LN
(all tumor in one area for XRT)

Question 34

Small cell staging - Extensive

Answer 34

More common
distant mets (bone, liver, CNS, adrenals)
includes pleural or pericardial effusion