TNM Staging System for Kidney Cancer (7th ed., 2010) Primary Tumor (T)
TX Primary tumor cannot be assd
T0 No evidence of primary tumor
T1 Tumor 7 cm or less in greatest dimension, limited to the kidney
T1a Tumor 4 cm or less in greatest dimension, limited to the kidney
T1b Tumor more than 4 cm but not more than 7 cm in greatest dimension, limited to the kidney
T2 Tumor more than 7 cm in greatest dimension, limited to the kidney
T2a Tumor more than 7 cm but less than or equal to 10 cm in greatest dimension, limited to the kidney
T2b Tumor more than 10 cm, limited to the kidney
T3 Tumor extends into major veins or perinephric tissues but not into the ipsilateral adrenal gland and not beyond Gerota’s fascia
T3a Tumor grossly extends into the renal vein or its gmental (muscle containing) branches, or tumor invades perirenal and/or renal sinus fat but not beyond Gerota’s fascia T3b Tumor grossly extends into the vena cava below the diaphragm
T3c Tumor grossly extends into the vena cava above the diaphragm or invades the wall of the vena cava
T4 Tumor invades beyond Gerota’s fa scia (including contiguous extension into the ipsilateral adrenal gland)
Regional Lymph Nodes (N)
NX Regional lymph nodes cannot be assd
N0 No regional lymph node metastasis
N1 Metastasis in a single regional lymph node(s)
Distant Metastasis (M)
M0 No distant metastasis
M1 Distant metastasis
Anatomic Stage/Prognostic Groups
Stage I T1 N0 M0
Stage II T2 N0 M0
Stage III T1 or T2 N1 M0
T3 N0 or N1 M0
Stage IV T4 Any N M0
Any T Any N M1
TNM Staging System for Bladder Cancer Cancer (7th ed., 2010) Primary Tumor (T)
TX Primary tumor cannot be assd
T0 No evidence of primary tumor
Ta Noninvasive papillary carcinoma
Tis Carcinoma in situ: “flat tumor”
T1 Tumor invades subepithelial connective tissue
T2 Tumor invades subepithelial connective tissue
pT2a Tumor invades superficial muscularis propria (inner half)
pT2b Tumor invades deep muscularis propria (outer half)
T3 Tumor invades perivesical tissue
pT3a Microscopically
pT3b Macroscopically (extravesical mass)
T4 Tumor invades any of the following: prostatic stroma, minal vesicles, uterus, vagina, pelvic wall, abdominal wall
T4a Tumor invades prostatic stroma, uterus, vagina
T4b Tumor invades pelvic wall, abdominal wall
Regional Lymph Nodes (N)
fall过去式
Regional lymph nodes include both primary and condary drainage regions. All other nodes above the aortic bifurcation are considered distant lymph nodes
NX Lymph nodes cannot be assd
N0 No lymph node metastasis
N1 Single regional lymph node metastasis in the true pelvis
(hypogastric, obturator, external iliac, or presacral lymph node)
N2 Multiple regional lymph node metastasis in the true pelvis
(hypogastric, obturator, external iliac, or presacral lymph node metastasis)
N3 Lymph node metastasis to the common iliac lymph nodes
Distant Metastasis (M)
M0 No distant metastasiscristiano ronaldo
M1 Distant metastasis
ANATOMIC STAGE/PROGNOSTIC GROUPS
Stage 0a Ta N0 M0 Stage IV T4b N0 M0
Stage 0is Tis N0 M0 Any T N1-3 M0
Stage I T1 N0 M0 Any T Any N M1
Stage II T2a N0 M0
T2b N0 M0
Stage III T3a N0 M0
T3b N0 M0
T4a N0 M0
TNM Staging System for Renal Pelvis and Ureter Cancer (7th ed., 2010) Primary Tumor (T)
Tx Primary tumor cannot be assd
T0 No evidence of primary tumor
4级多少分过Ta Papillary noninvasive carcinoma
Tis Carcinoma in situ
T1 Tumor invades subepithelial connective tissue
T2 Tumor invades the muscularis
T3 (For renal pelvis only) Tumor invades beyond muscularis into peripelvic fat or the renal parenchyma T3. (For ureter only) Tumor invades beyond muscularis into periureteric fat.
T4 Tumor invades adjacent organs, or through the kidney into the perinephric fat. Regional Lymph Nodes (N)*
Nx Regional lymph nodes cannot be assd
N0 No regional lymph node metastasis
N1 Metastasis in a single lymph node, 2 cm or less in greatest dimension
N2 Metastasis in a single lymph node, more than 2 cm but not more than 5 cm in greatest dimension; or multiple lymph nodes, none more than 5 cm in greatest dimension
N3 Metastasis in a lymph node, more than 5 cm in greatest dimension
* Note: Laterality does not affect the N classification.
Distant Metastasis (M)
M0 No distant metastasis
M1 Distant metastasis
ANATOMIC STAGE/PROGNOSTIC GROUPS
Stage0a Ta N0 M0
Stage 0is Tis N0 M0
Stage I T1 N0 M0
Stage II T2 N0 M0
Stage III T3 N0 M0
Stage IV T4 N0 M0
Any T N1 M0
Any T N2 M0
Any T N3 M0
Any T Any N M1
TNM Staging System For Prostate Cancer
Primary Tumor (T)
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Clinical
Tx Primary tumor cannot be assd
T0 No evidence of primary tumor
抱歉的意思T1 Clinically inapparent tumor neither palpable nor visible by imaging
T1a Tumor incidental histologic finding in 5% or less of tissue rected
T1b Tumor incidental histologic finding in more than 5% of tissue rected
T1c Tumor identified by needle biopsy (e.g., becau of elevated PSA)
T2 Tumor confined within prostate* (Tumor found in one or both lobes by needle biopsy, but not palpable or reliably visible by imaging, is classified as T1c)
T2a Tumor involves one-half of one lobe or less
T2b Tumor involves more than one-half of one lobe but not both lobes
T2c Tumor involves both lobes
T3 Tumor extends through the prostatic capsule(nvasion into the prostatic apex or into (but not beyond) the prostatic capsule is not classified as T3, but as T2)
T3a Extracapsular extension (unilateral or bilateral)
T3b Tumor invades the minal vesicle(s)
T4 Tumor is fixed or invades adjacent structures other than minal vesicles: bladder, levator muscles,and/or pelvic wall.
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Pathologic(pT)( There is no pathologic T1 classification.)
pT2 Organ confined
pT2a Unilateral, involving one-half of one side or less
pT2b Unilateral, involving more than one-half of one side but not both sides
pT2c Bilateral dia
pT3 Extraprostatic extension
pT3a Extraprostatic extension or microscopic invasion of the bladder neck（Positive surgical margin should be indicated by an R1 descriptor (residual microscopic dia)）pT3b Seminal vesicle invasiondan majerle
pT4 Invasion of bladder, rectum
Regional Lymph Nodes (N)
Clinical
2011浙江高考英语Nx Regional lymph nodes were not assd
N0 No regional lymph node metastasis
N1 Metastasis in regional lymph node(s)
Pathologic
PNx Regional nodes not sampled
pN0 No positive regional nodes
pN1 Metastas in regional nodes(s)
估分
Distant Metastasis (M)（When more than one site of metastasis is prent, the most advanced
category isud. pMIc is most advanced）
M0 No distant metastasis
M1 Distant metastasis
M1a Non-regional lymph node(s)
M1b Bone(s)
M1c Other site(s) with or without bone dia
ANATOMIC STAGE/PROGNOSTIC GROUPS （When either PSA or Gleason is not available, grouping should be determined by T stage and/or either PSA or Gleason as available.）Group T N M PSA Gleason
I T1a-c N0 M0 PSA < 10 Gleason 6
T2a N0 M0 PSA < 10 Gleason 6
T1-2a N0 M0 PSA X Gleason X
IIA T1a-c N0 M0 PSA < 20 Gleason 7
T1a-c N0 M0 PSA 10 <20 Gleason 6
T2a N0 M0 PSA < 20 Gleason 7
T2b N0 M0 PSA < 20 Gleason 7
T2b N0 M0 PSA X Gleason X
IIB T2c N0 M0 Any PSA Any Gleason
T1-2 N0 M0 PSA 20 Any Gleason
T1-2 N0 M0 Any PSA Gleason 8
III T3a-b N0 M0 Any PSA Any Gleason
IV T4 N0 M0 Any PSA Any Gleason
Any T N1 M0 Any PSA Any Gleason
Any T Any N M1 Any PSA Any Gleason
