SPECIAL - Staging Flashcards
Rectal cancer - infiltration of mesorectal fat (T-stage)
T3
Rectal cancer - involvement of pelvic organs or peritoneal reflections (T-stage)
T4
Lung cancer - unresectable stage
stage 3B or higher
Lung cancer - supraclavicular lymph node involvement
N3 => stage 3B
Lung cancer - scalene lymph node involvement
N3 => stage 3B
Lung cancer - contralateral mediastinal or hilar lymph node involvement
N3 => stage 3B
Lung cancer - involvement of different lobes in same lung
T4; if ipsilateral mediastinal lymph node involvement (N2) => stage 3B (ipsilateral hilar nodes do NOT count)
Lung cancer - malignant pericardial or pleural effusion
M1a => stage 4 (higher than 3B)
Lung cancer - tumor involvement of contralateral lung
M1a => stage 4 (higher than 3B)
Lung cancer - distant or extrathoracic mets
M1a => stage 4 (higher than 3B)
Esophageal cancer - confined to adventitia
stage 3
Esophageal cancer - invasion into adjacent structures
stage 4
Cervical cancer - unresectable stage
stage 2B
Cervical cancer - confined to cervix or uterus
stage 1
Cervical cancer - spread to upper 2/3 of vagina without parametrial involvement
stage 2A
Cervical cancer - parametrial involvement
stage 2B
Endometrial cancer - confined to uterus
stage 1; 1A = <50% myometrial invasion, 1B = >50% myometrial invasion
Endometrial cancer - cervical stromal invasion
stage 2
Endometrial cancer - tumor extension beyond uterus
stage 3
RCC - unresectable stage
stage 4
RCC - tumor confined to kidney, <7 cm
T1 => stage 1
RCC - tumor confined to kidney, >7 cm
T2 => stage 2
RCC - tumor invasion into major veins
T3a/b/c => stage 3; T3a = renal vein, T3b = infrarenal IVC, T3c = suprarenal IVC
RCC - tumor invasion into perinephric space
T3a => stage 3
RCC - tumor growth through Gerota’s fascia
T4 => stage 4
RCC - tumor growth into ipsilateral adrenal gland
T4 => stage 4
Neuroblastoma - limited to organ of origin
stage 1
Neuroblastoma - local spread (does not cross midline)
stage 2
Neuroblastoma - crosses midline
stage 3
Neuroblastoma - distant mets
stage 4
Neuroblastoma - stage 4S
localized tumor, <1 y/o, mets confined to skin, liver, and bone marrow
Wilms - unresectable stage
stage 3 or higher
Wilms - confined to kidney
stage 1
Wilms - local spread beyond kidney
stage 2
Wilms - local spread beyond kidney with renal vein involvement
stage 2 (renal vein involvement is still stage 2)
Wilms - lymph node involvement
stage 3
Wilms - peritoneal spread confined to abdomen
stage 3
Wilms - hematogenous mets
stage 4
Wilms - bilateral renal involvement
stage 5
Bladder TCC - invasion into muscularis
T2 => stage 2
Bladder TCC - invasion into perivesical tissues
T3 => stage 3
Bladder TCC - invasion into prostate, uterus, or vagina
T4a => stage 3
Bladder TCC - invasion into pelvic sidewall or abdominal wall
T4b => stage 4
Prostate cancer - unresectable stage
stage 3 or higher
Prostate cancer - confined to prostate
T2/stage 2 or lower (lots of factors involved in deciding between stage 1 & 2)
Prostate cancer - extracapsular extension
T3 => stage 3
Prostate cancer - seminal vesicle invasion
T3 => stage 3
Prostate cancer - spread into adjacent tissues (not including seminal vesicles)
T4 => stage 4
Prostate cancer - any nodal spread or mets
stage 4
Breast cancer - tumor <2 cm
T1
Breast cancer - tumor 2-5 cm
T2
Breast cancer - tumor >5 cm
T3
Breast cancer - chest wall fixation, skin involvement, or inflammatory carcinoma
T4; can be any size