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Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

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TNM Tumor Staging<br />

Stage Grouping:<br />

Stage I: T1 N0 M0<br />

Stage II: T2 N0 M0<br />

Stage IIIA: T3 N0 M0<br />

Stage IIIB: T4 N0 M0<br />

Stage IIIC: any T N1 M0<br />

Stage IV: any T any N M1<br />

T0 No evidence of primary tumor<br />

T1 Solitary tumor w/o vascular invasion<br />

T2 Solitary tumor with vascular invasion, or multiple <strong>tumors</strong><br />

5cm or tumor involving major branch<br />

of portal or hepatic veins<br />

T4 Tumors with direct invasion of adjacent organs <strong>other</strong><br />

than the gallbladder or with perforation of the visceral<br />

peritoneum<br />

N0 No regional lymph node metastasis<br />

N1 Regional lymph node metastasis<br />

M0 No distant metastasis<br />

M1 Distant metastasis<br />

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