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AA.Gastric C II 06. ppt

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TNM FOR GASTRIC ADENOCARCINOMA<br />

TNM: PRIMARY TUMOR. <strong>II</strong>.<br />

- T3: tumor penetrates serosa (visceral peritoneum)<br />

without invading adjacent structures**;<br />

- T4: tumor invades adjacent structures, including<br />

spleen, transverse colon, liver, diaphragm, pancreas,<br />

abdominal wall, adrenal gland, kidney, small intestine<br />

and retroperitoneum<br />

[** intramural extension to duodenum or esophagus<br />

is classified by depth of greatest invasion in any of<br />

these sites, including stomach]

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