20.12.2013 Views

Eble JN, Sauter G., Epstein JI, Sesterhenn IA - iarc

Eble JN, Sauter G., Epstein JI, Sesterhenn IA - iarc

Eble JN, Sauter G., Epstein JI, Sesterhenn IA - iarc

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

TNM classification of renal cell carcinoma<br />

TNM classification 1,2<br />

T – Primary Tumour<br />

TX Primary tumour cannot be assessed<br />

T0 No evidence of primary tumour<br />

T1<br />

T1a<br />

T1b<br />

T2<br />

T3<br />

T3a<br />

T3b<br />

T3c<br />

T4<br />

Tumour 7 cm or less in greatest dimension, limited to the kidney<br />

Tumour 4 cm or less<br />

Tumour more than 4 cm but not more than 7 cm<br />

Tumour more than 7 cm in greatest dimension, limited to the kidney<br />

Tumour extends into major veins or directly invades adrenal gland<br />

or perinephric tissues but not beyond Gerota fascia<br />

Tumour directly invades adrenal gland or perinephric tissues a but<br />

not beyond Gerota fascia<br />

Tumour grossly extends into renal vein(s) b or vena cava or its wall<br />

below diaphragm<br />

Tumour grossly extends into vena cava or its wall above diaphragm<br />

Tumour directly invades beyond Gerota fascia<br />

Notes: a Includes renal sinus (peripelvic) fat<br />

b Includes segmental (muscle-containing) branches<br />

N – Regional Lymph Nodes<br />

NX Regional lymph nodes cannot be assessed<br />

N0 No regional lymph node metastasis<br />

N1 Metastasis in a single regional lymph node<br />

N2 Metastasis in more than one regional lymph node<br />

M – Distant Metastasis<br />

MX Distant metastasis cannot be assessed<br />

M0 No distant metastasis<br />

M1 Distant metastasis<br />

Stage grouping<br />

Stage I T1 N0 M0<br />

Stage II T2 N0 M0<br />

Stage III T3 N0 M0<br />

T1, T2, T3 N1 M0<br />

Stage IV T4 N0, N1 M0<br />

Any T N2 M0<br />

Any T Any N M1<br />

__________<br />

1<br />

{944,2662}.<br />

2<br />

A help desk for specific questions about the TNM classification is available at http://www.uicc.org/tnm<br />

11

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!