SPECIAL - Staging

Question 1

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

Answer 1

T3

Question 2

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

Answer 2

T4

Question 3

Lung cancer - unresectable stage

Answer 3

stage 3B or higher

Question 4

Lung cancer - supraclavicular lymph node involvement

Answer 4

N3 => stage 3B

Question 5

Lung cancer - scalene lymph node involvement

Answer 5

N3 => stage 3B

Question 6

Lung cancer - contralateral mediastinal or hilar lymph node involvement

Answer 6

N3 => stage 3B

Question 7

Lung cancer - involvement of different lobes in same lung

Answer 7

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

Question 8

Lung cancer - malignant pericardial or pleural effusion

Answer 8

M1a => stage 4 (higher than 3B)

Question 9

Lung cancer - tumor involvement of contralateral lung

Answer 9

M1a => stage 4 (higher than 3B)

Question 10

Lung cancer - distant or extrathoracic mets

Answer 10

M1a => stage 4 (higher than 3B)

Question 11

Esophageal cancer - confined to adventitia

Answer 11

stage 3

Question 12

Esophageal cancer - invasion into adjacent structures

Answer 12

stage 4

Question 13

Cervical cancer - unresectable stage

Answer 13

stage 2B

Question 14

Cervical cancer - confined to cervix or uterus

Answer 14

stage 1

Question 15

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

Answer 15

stage 2A

Question 16

Cervical cancer - parametrial involvement

Answer 16

stage 2B

Question 17

Endometrial cancer - confined to uterus

Answer 17

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

Question 18

Endometrial cancer - cervical stromal invasion

Answer 18

stage 2

Question 19

Endometrial cancer - tumor extension beyond uterus

Answer 19

stage 3

Question 20

RCC - unresectable stage

Answer 20

stage 4

Question 21

RCC - tumor confined to kidney, <7 cm

Answer 21

T1 => stage 1

Question 22

RCC - tumor confined to kidney, >7 cm

Answer 22

T2 => stage 2

Question 23

RCC - tumor invasion into major veins

Answer 23

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

Question 24

RCC - tumor invasion into perinephric space

Answer 24

T3a => stage 3

Question 25

RCC - tumor growth through Gerota's fascia

Answer 25

T4 => stage 4

Question 26

RCC - tumor growth into ipsilateral adrenal gland

Answer 26

T4 => stage 4

Question 27

Neuroblastoma - limited to organ of origin

Answer 27

stage 1

Question 28

Neuroblastoma - local spread (does not cross midline)

Answer 28

stage 2

Question 29

Neuroblastoma - crosses midline

Answer 29

stage 3

Question 30

Neuroblastoma - distant mets

Answer 30

stage 4

Question 31

Neuroblastoma - stage 4S

Answer 31

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

Question 32

Wilms - unresectable stage

Answer 32

stage 3 or higher

Question 33

Wilms - confined to kidney

Answer 33

stage 1

Question 34

Wilms - local spread beyond kidney

Answer 34

stage 2

Question 35

Wilms - local spread beyond kidney with renal vein involvement

Answer 35

stage 2 (renal vein involvement is still stage 2)

Question 36

Wilms - lymph node involvement

Answer 36

stage 3

Question 37

Wilms - peritoneal spread confined to abdomen

Answer 37

stage 3

Question 38

Wilms - hematogenous mets

Answer 38

stage 4

Question 39

Wilms - bilateral renal involvement

Answer 39

stage 5

Question 40

Bladder TCC - invasion into muscularis

Answer 40

T2 => stage 2

Question 41

Bladder TCC - invasion into perivesical tissues

Answer 41

T3 => stage 3

Question 42

Bladder TCC - invasion into prostate, uterus, or vagina

Answer 42

T4a => stage 3

Question 43

Bladder TCC - invasion into pelvic sidewall or abdominal wall

Answer 43

T4b => stage 4

Question 44

Prostate cancer - unresectable stage

Answer 44

stage 3 or higher

Question 45

Prostate cancer - confined to prostate

Answer 45

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

Question 46

Prostate cancer - extracapsular extension

Answer 46

T3 => stage 3

Question 47

Prostate cancer - seminal vesicle invasion

Answer 47

T3 => stage 3

Question 48

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

Answer 48

T4 => stage 4

Question 49

Prostate cancer - any nodal spread or mets

Answer 49

stage 4

Question 50

Breast cancer - tumor <2 cm

Answer 50

T1

Question 51

Breast cancer - tumor 2-5 cm

Answer 51

T2

Question 52

Breast cancer - tumor >5 cm

Answer 52

T3

Question 53

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

Answer 53

T4; can be any size