DATA FORM FOR CANCER STAGING- CARCINOMA OF SKIN
(excluding eyelid, vulva, and penis)
Form # 785-1-035
| CLIN | PATH | DEFINITIONS | |
| PRIMARY TUMOR (T) | |||
| TX | Primary tumor cannot be assessed | ||
| T0 | No evidence of primary tumor | ||
| Tis | Carcinoma in situ | ||
| T1 | Tumor 2 cm or less in greatest dimension | ||
| T2 | Tumor more than 2 cm but not more than 5 cm in greatest dimension | ||
| T3 | Tumor more than 5 cm in greatest dimension | ||
| T4 | Tumor invades deep extradermal structures, i.e., cartilage, skeletal muscle or bone | ||
| Lymph Node (N) | |||
| NX | Regional lymph nodes cannot be assessed | ||
| N0 | No regional lymph node metastasis | ||
| N1 | Regional lymph node metastasis | ||
| Distant Metastasis (M) | |||
| MX | Presence of distant metastasis cannot be assessed | ||
| M0 | No distant metastasis | ||
| M1 | Distant metastasis | ||
| CLIN | PATH | STAGE GROUPING | |||
| 0 | Tis | N0 | M0 | ||
| I | T1 | N0 | M0 | ||
| II | T2 | N0 | M0 | ||
| T3 | N0 | M0 | |||
| T3 | N1 | M0 | |||
| III | T4 | N0 | M0 | ||
| Any T | N1 | M0 | |||
| IV | Any T | Any N | M1 | ||
THE FINAL STAGE GROUPING (CLINICAL & PATHOLOGICAL) IS THE RESPONSIBILITY OF THE ATTENDING PHYSICIAN.
| Comments: |
| Patient Name: |