TNM Major Flashcards
T staging for salivary gland
T1 - </= 2 cm without extraparenchymal extension
T2 - 2 - 4 cm without extraparnchymal extension
T3 - > 4 cm and/or tumour having extraparenchymal extension
T4a - Invades skin, mandibles, ear canal, and/or facial nerve
T4b - Invades skull base and/or pterygoid plates and/or encases carotid artery
N staging salivary gland
N1 - Single ipsilateral < or = 3 cm
N2a - Single ipsilateral 3 - 6 cm
N2b - Multiple ipsilateral LN, > 6 cm
N2c - Bilateral or contralateral LN, > 6 cm N3 - > 6 cm
T staging Lung
T1 - < or = 3 cm, away from pleura and distal to lobar bronchus T2 - Any of the following: i) > 3 cm ii) Main bronchus, 2 cm or less distal to carina iii) invades visceral pleura iv) assoc with atelectasis of obstructive pneumonitis of hilar region T3 - Invades: diaphragm, mediastinal pleura, parietal pericardium or tumour in the main bronchus less than 2 cm distal to the carina but without involvement of the carina or associated atelectasis or obstructive pneumonitis of entire lung T4 - Invades: mediastinum, heart, great vessels, trachea, esophagus, vertebral body, carina; separate nodules in the same lobe; tumour with malignant pleural effusion
N staging for lung
N1 - Ipsilateral peribronchial and/or ipsilateral hilar LN and intrapulmonary nodes N2 - Ipsilateral mediastinal and/or subcarinal N3 - Contralateral mediastinal and/or subcarinal, ipsilateral scalene or supraclavicular LN
T staging for esophagus
T1 - Invades lamina propria T2 - Invades musclaris T3 - Invades adventitia T4 - Invades adjacent structures
N staging for esophagus
N1 - Regional LN
T staging Stomach
T1 - Invades lamina propria T2a - Invades muscularis propria T2b - Invades subserosa T3 - Penetrates serosa without invading other structures T4 - Invades adjacent structures
N staging for stomach
N1 - 1-6 LN N2 - 7-14 LN N3 - > 15 LN
T staging for Small Bowel
T1 - Invades lamina propria T2 - Invades muscularis propria or submucosa T3 - Invades through muscularis propria into the subserosa or into the nonperitonealised e perimuscularis tissue with extension 2 cm or less T4 - Perforation of viseral peritoneum or directly invades other organs or structures (includes other loops of small intestine, mesentery or retroperitoneum > 2 cm and abdominal wall by way of serosa or duodenum only invasion of pancreas)
T staging for colorectal
T1 - Invades lamina propria T2 - Invades muscularis propria T3 - Invades subserosa or into retroperitoneal pericolic or perirectal tissues T4 - Invades other organs or structures and/or perforation
N staging for colorectal
N1 - 1-3 regional LN N2 - >3 regional LN
T staging for Cervix
pT1- Confined to uterus
___ pT1a [IA]: Invasive carcinoma diagnosed by microscopy only. All macroscopically visible lesions
(even with superficial invasion) are pT1b/1B.
___ pT1a1 [IA1]: Stromal invasion ≤3.0 mm in depth and horizontal spread ≤7.0 mm
__ pT1a2 [IA2]: Stromal invasion >3.0 mm but not more than 5.0 mm in depth and horizontal spread≤7.0 mm
___ pT1b [IB]: Clinically visible lesion confined to the cervix or microscopic lesion greater than
___ pT1b1 [IB1]: Clinically visible lesion ≤4.0 cm in greatest dimension
___ pT1b2 [IB2]: Clinically visible lesion >4.0 cm in greatest dimension
pT2 - Beyond the uterus but not to pelvic wall or to lower third of vagina
___ pT2a [IIA]: Tumor without parametrial invasion
___ pT2a1 [IIA1]: Clinically visible lesion ≤4.0 cm in greatest dimension
___ pT2a2 [IIA2] Clinically visible lesion >4.0 cm in greatest dimension
___ pT2b [IIB]: Tumor with parametrial invasion
pT3 - Extends to the pelvic wall and/or involves the lower third of the vagina and/or causes
hydronephrosis or non-functioning kidney
___ pT3a [IIIA]: Tumor involves lower third of vagina, but not pelvic wall
___ pT3b [IIIB]: Tumor extends to pelvic wall and/or causes hydronephrosis or non-functioning kidney
pT4 [IVA]: Tumor invades the mucosa of bladder or rectum and/or extends beyond true pelvis
T staging for testis
pTis: Intratubular germ cell neoplasia (carcinoma in situ)
pT1: Tumor limited to the testis and epididymis without vascular/lymphatic invasion; tumor may invade tunica albuginea but not tunica vaginalis
pT2: Tumor limited to the testis and epididymis with vascular/lymphatic invasion, or tumor extending through the tunica albuginea with involvement of the tunica vaginalis
pT3: Tumor invades the spermatic cord with or without vascular/lymphatic invasion
pT4: Tumor invades the scrotum with or without vascular/lymphatic invasion
T staging Urinary bladder
- Tumor invades subepithelial connective tissue (lamina propria)
- Tumor invades muscularis propria (detrusor muscle) - 2a inner half; 2b outer half
- Tumor invades perivesical tissue - 3a microscopic, 3b macroscopic
- Tumor invades any of the following: prostatic stroma (a), seminal vesicles (a), uterus (a), vagina (a), pelvic wall (b),
abdominal wall (b)
T staging prostate
- CAP says no T1
- pT2: Organ confined - Unilateral, involving one-half of 1 side or less (a), Unilateral, involving more than one-half of 1 side but not both sides (b), Bilateral disease (c)
- Extraprostatic extension - Extraprostatic extension or microscopic invasion of bladder neck (a), Seminal vesicle invasion (b)
- Invasion of rectum, levator muscles and/or pelvic wall (Note J)