FRONTIERS IN BIOSCIENCE;

DATA FORM FOR CANCER STAGING - PHARYNX





Form # 785-1-016

CLIN PATH DEFINITIONS
    PRIMARY TUMOR (T)

TX Primary tumor cannot be assessed

T0 No evidence of primary tumor

Tis Carcinoma in situ
    OROPHARYNX

T1 Tumor 2 cm or less in greatest dimension

T2 Tumor more than 2 cm but not more than 4 cm in greatest dimension

T3 Tumor more than 4 cm in greatest dimension

T4 Tumor invades adjacent structures, e.g., through cortical bone, soft tissues of neck, deep (extrinsic) muscle of tongue
    NASOPHARYNX

T1 Tumor limited to one subsite of nasopharynx

T2 Tumor invades more than one subsite of nasopharynx

T3 Tumor invades nasal cavity and/or oropharynx

T4 Tumor invades skull and/or cranial nerve(s)
    HYPOPHARYNX

T1 Tumor limited to one subsite of hypopharynx

T2 Tumor invades more than one subsite of hypopharynx or an adjacent site, without fixation of hemilarynx

T3 Tumor invades more than one subsite of hypopharynx or an adjacent site, with fixation of hemilarynx

T4 Tumor invades adjacent structures, e.g., cartilage or soft tissues of neck
    LYMPH NODE (N)

NX Regional lymph nodes cannot be assessed

N0 No regional lymph node metastasis

N1 Metastasis in a single ipsilateral lymph node, 3 cm or less in greatest dimension

N2 Metastasis in a single ipsilateral lymph node, more than 3 cm but not more than 6 cm in greatest dimension, or multiple ipsilateral lymph nodes, none more than 6 cm in greatest dimension, or bilateral or contralateral lymph nodes, none more than 6 cm in greatest dimension

  N2a Metastasis in a single ipsilateral lymph node more than 3 cm but not more than 6 cm in greatest dimension

  N2b Metastasis in multiple ipsilateral lymph nodes, none more than 6 cm in greatest dimension

  N2c Metastasis in bilateral or contralateral lymph nodes, none more than 6 cm in greatest dimension

N3 Metastasis in a lymph node more than 6 cm in greatest dimension
    DISTANT METASTASIS (M)

MX Presence of distant metastasis cannot be assessed

M0 No distant metastasis

M1 Distant metastasis

Pathologic Stage by: M.D. Date:

CLIN PATH STAGE GROUPING

0 Tis N0 M0

I T1 N0 M0

II T2 N0 M0

III T3 N0 M0
      T1 N1 M0
      T2 N1 M0
      T3 N1 M0

IV T4 N0 M0
      T4 N1 M0
      Any T N2 M0
      Any T N3 M0
      Any T Any N M1

Attending: M.D. Date:

THE FINAL STAGE GROUPING (CLINICAL & PATHOLOGICAL) IS THE RESPONSIBILITY OF THE ATTENDING PHYSICIAN.

Comments:

Patient Name: