SPECIAL - Staging Flashcards

1
Q

Rectal cancer - infiltration of mesorectal fat (T-stage)

A

T3

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2
Q

Rectal cancer - involvement of pelvic organs or peritoneal reflections (T-stage)

A

T4

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3
Q

Lung cancer - unresectable stage

A

stage 3B or higher

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4
Q

Lung cancer - supraclavicular lymph node involvement

A

N3 => stage 3B

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5
Q

Lung cancer - scalene lymph node involvement

A

N3 => stage 3B

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6
Q

Lung cancer - contralateral mediastinal or hilar lymph node involvement

A

N3 => stage 3B

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7
Q

Lung cancer - involvement of different lobes in same lung

A

T4; if ipsilateral mediastinal lymph node involvement (N2) => stage 3B (ipsilateral hilar nodes do NOT count)

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8
Q

Lung cancer - malignant pericardial or pleural effusion

A

M1a => stage 4 (higher than 3B)

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9
Q

Lung cancer - tumor involvement of contralateral lung

A

M1a => stage 4 (higher than 3B)

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10
Q

Lung cancer - distant or extrathoracic mets

A

M1a => stage 4 (higher than 3B)

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11
Q

Esophageal cancer - confined to adventitia

A

stage 3

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12
Q

Esophageal cancer - invasion into adjacent structures

A

stage 4

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13
Q

Cervical cancer - unresectable stage

A

stage 2B

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14
Q

Cervical cancer - confined to cervix or uterus

A

stage 1

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15
Q

Cervical cancer - spread to upper 2/3 of vagina without parametrial involvement

A

stage 2A

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16
Q

Cervical cancer - parametrial involvement

A

stage 2B

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17
Q

Endometrial cancer - confined to uterus

A

stage 1; 1A = <50% myometrial invasion, 1B = >50% myometrial invasion

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18
Q

Endometrial cancer - cervical stromal invasion

A

stage 2

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19
Q

Endometrial cancer - tumor extension beyond uterus

A

stage 3

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20
Q

RCC - unresectable stage

A

stage 4

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21
Q

RCC - tumor confined to kidney, <7 cm

A

T1 => stage 1

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22
Q

RCC - tumor confined to kidney, >7 cm

A

T2 => stage 2

23
Q

RCC - tumor invasion into major veins

A

T3a/b/c => stage 3; T3a = renal vein, T3b = infrarenal IVC, T3c = suprarenal IVC

24
Q

RCC - tumor invasion into perinephric space

A

T3a => stage 3

25
Q

RCC - tumor growth through Gerota’s fascia

A

T4 => stage 4

26
Q

RCC - tumor growth into ipsilateral adrenal gland

A

T4 => stage 4

27
Q

Neuroblastoma - limited to organ of origin

A

stage 1

28
Q

Neuroblastoma - local spread (does not cross midline)

A

stage 2

29
Q

Neuroblastoma - crosses midline

A

stage 3

30
Q

Neuroblastoma - distant mets

A

stage 4

31
Q

Neuroblastoma - stage 4S

A

localized tumor, <1 y/o, mets confined to skin, liver, and bone marrow

32
Q

Wilms - unresectable stage

A

stage 3 or higher

33
Q

Wilms - confined to kidney

A

stage 1

34
Q

Wilms - local spread beyond kidney

A

stage 2

35
Q

Wilms - local spread beyond kidney with renal vein involvement

A

stage 2 (renal vein involvement is still stage 2)

36
Q

Wilms - lymph node involvement

A

stage 3

37
Q

Wilms - peritoneal spread confined to abdomen

A

stage 3

38
Q

Wilms - hematogenous mets

A

stage 4

39
Q

Wilms - bilateral renal involvement

A

stage 5

40
Q

Bladder TCC - invasion into muscularis

A

T2 => stage 2

41
Q

Bladder TCC - invasion into perivesical tissues

A

T3 => stage 3

42
Q

Bladder TCC - invasion into prostate, uterus, or vagina

A

T4a => stage 3

43
Q

Bladder TCC - invasion into pelvic sidewall or abdominal wall

A

T4b => stage 4

44
Q

Prostate cancer - unresectable stage

A

stage 3 or higher

45
Q

Prostate cancer - confined to prostate

A

T2/stage 2 or lower (lots of factors involved in deciding between stage 1 & 2)

46
Q

Prostate cancer - extracapsular extension

A

T3 => stage 3

47
Q

Prostate cancer - seminal vesicle invasion

A

T3 => stage 3

48
Q

Prostate cancer - spread into adjacent tissues (not including seminal vesicles)

A

T4 => stage 4

49
Q

Prostate cancer - any nodal spread or mets

A

stage 4

50
Q

Breast cancer - tumor <2 cm

A

T1

51
Q

Breast cancer - tumor 2-5 cm

A

T2

52
Q

Breast cancer - tumor >5 cm

A

T3

53
Q

Breast cancer - chest wall fixation, skin involvement, or inflammatory carcinoma

A

T4; can be any size