Staging Pearls

Question 1

Cervical cancer:

Parametrial invasion

Answer 1

2b

Question 2

Lung cancer staging:

T stage based on size

Answer 2

T1 (a, b, c)
<3cm

T2 (a, b)
3-5cm

T3
5-7cm

T4
>7cm

Question 3

Lung cancer staging:

M1a tumour

Answer 3

• Nodule in contralateral lobe
• Pleural or pericardial nodularity or effusion

Question 4

Lung cancer staging:

M1b tumour

Answer 4

Single extra thoracic metastasis in an organ OR non-regional node

Question 5

Lung cancer staging:

M1c tumour

Answer 5

Multiple extra thoracic metastases in single or multiple organs.

Question 6

Lung cancer staging:

N1 tumour

Answer 6

Ipsilateral hilar or intrapulmonary node

Question 7

Lung cancer staging:

N2 tumour

Answer 7

Ipsilateral mediastinal AND/OR subcarinal node

Question 8

Lung cancer staging:

N3 tumour

Answer 8

Contralateral hilar/mediastinal node.

AND/OR

Supraclavicular or scalene node.

Question 9

Lung cancer staging:

T4 tumour

Answer 9

> 7cm

OR

Nodule in DIFFERENT IPSILATERAL lobe

OR

Invades:
Diaphragm
Mediastinum
Heart
Great vessels
Trachea
Oesophagus
Vertebra

Question 10

Lung cancer staging:

T3 tumour

Answer 10

• >5-7cm

OR

• Nodule in SAME lobe as primary

OR

Invasion of:
Chest wall
Parietal pericardium
Phrenic nerve