DATA FORM FOR CANCER STAGING - MALIGNANT MELANOMA OF THE CONJUNCTIVA
Form # 785-1-052
| CLIN | PATH | DEFINITIONS | |
| PRIMARY TUMOR (T) | |||
| TX | Primary tumor cannot be assessed | ||
| T0 | No evidence of primary tumor | ||
| T1 | Tumor(s) of bulbar conjunctiva occupying one quadrant or less | ||
| T2 | Tumor(s) of bulbar conjunctiva occupying more than one quadrant | ||
| T3 | Tumor(s) of conjunctival fornix and/or palpebral conjunctiva and/or caruncle | ||
| T4 | Tumor invades eyelid, cornea, and/or orbit | ||
| 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 | ||
| PRIMARY TUMOR (PT) | |||
| pTX | Primary tumor cannot be assessed | ||
| pT0 | No evidence of primary tumor | ||
| pT1 | Tumor(s) of bulbar conjunctiva occupying one quadrant or less and 2 mm or less in thickness | ||
| pT2 | Tumor(s) of bulbar conjunctiva occupying more than one quadrant and 2 mm or less ithickness | ||
| pT3 | Tumor(s) of conjunctival fornix and/or palpebral conjunctiva and/or caruncle and/or tumor of the bulbar conjunctiva, more than 2 mm in thickness | ||
| pT4 | Tumor invades eyelid, cornea, and/or orbit | ||
| LYMPH NODE (PN) | |||
| pNX | Regional lymph nodes cannot be assessed | ||
| pN0 | No regional lymph node metastasis | ||
| pN1 | Regional lymph node metastasis | ||
| DISTANT METASTASIS (PM) | |||
| pMX | Presence of distant metastasis cannot be assessed | ||
| pM0 | No distant metastasis | ||
| pM1 | Distant metastasis | ||
| STAGE GROUPING No stage grouping is presently recommended |
THE FINAL STAGE GROUPING (CLINICAL & PATHOLOGICAL) IS THE RESPONSIBILITY OF THE ATTENDING PHYSICIAN.
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| Patient Name: |