| Clin |
Path |
DEFINITIONS |
| |
|
Primary
Tumor (T) |
|
|
|
TX |
Primary tumor cannot be
assessed, or tumor proven by presence of malignant cells
in sputum or bronchial washings but not visualized by
imaging or bronchoscopy |
|
|
|
T0 |
No evidence of primary
tumor |
|
|
|
Tis |
Carcinoma in situ: |
|
|
|
T1 |
Tumor 3 cm or less in
greatest dimension, surrounded by lung or visceral
pleura, without bronchoscopic evidence of invasion more
proximal than the lobar bronchus (i.e. not in main
bronchus) |
|
|
|
T2 |
Tumor with any of the
following features of size or extent: More than 3 cm in greatest dimension
Involves main bronchus, 2 cm or more
distal to the carina Invades the visceral pleura
Associated with atelectasis or
obstructive pneumonitis which extends to the hilar region
but does not involve the entire lung
|
|
|
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T3 |
Tumor of any size that
directly invades any of the following: chest wall
(including superior sulcus tumors), diaphragm,
mediastinal pleura, parietal pericardium; or tumor in the
main bronchus less than 2 cm distal to the carina but
without involvement of the carina; or associated
atelectasis or obstructive pneumonitis of the entire lung |
|
|
|
T4 |
Tumor of any size that
invades any of the following: mediastinum, heart, great
vessels, trachea, esophagus, vertebral body, carina; or
tumor with a malignant pleural effusion |
| |
|
Lymph
Node (N) |
|
|
|
NX |
Regional lymph nodes cannot
be assessed |
|
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N0 |
No regional lymph node
metastasis |
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|
|
N1 |
Metastasis in ipsilateral
peribronchial and/or ipsilateral hilar lymph nodes,
including direct extension |
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|
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N2 |
Metastasis in ipsilateral
mediastinal and/or subcarinal lymph node(s) |
|
|
|
N3 |
Metastasis in contralateral
mediastinal, contralateral hilar, ipsilateral or
contralateral scalene or supraclavicular lymph node(s) |
| |
|
Distant
Metastasis (M) |
|
|
|
MX |
Presence of distant
metastasis cannot be assessed |
|
|
|
M0 |
No distant metastasis |
|
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M1 |
Distant metastasis |