DATA FORM FOR CANCER STAGING - SMALL INTESTINE
Form # 785-1-023
| CLIN | PATH | DEFINITIONS | |
| PRIMARY TUMOR (T) | |||
| TX | Primary tumor cannot be assessed | ||
| T0 | No evidence of primary tumor | ||
| Tis | Carcinoma in situ | ||
| T1 | Tumor invades lamina propria or submucosa | ||
| T2 | Tumor invades muscularis propria | ||
| T3 | Tumor invades through the muscularis propria into the subserosa or into the non-peritonealized perimuscular tissue (mesentery or retroperitoneum) with extension 2 cm or less | ||
| T4 | Tumor perforates the visceral peritoneum, or directly invades other organs and structures, (includes other loops of small intestine, mesentery, or retroperitoneum more than 2 cm, and the abdominal wall by way of the serosa; for the duodenum only includes invasion of the pancreas). | ||
| 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 | ||
| T2 | N0 | M0 | |||
| II | T3 | N0 | M0 | ||
| T4 | N0 | M0 | |||
| III | Any T | N1 | M0 | ||
| IV | Any T | Any N | M1 | ||
THE FINAL STAGE GROUPING (CLINICAL & PATHOLOGICAL) IS THE RESPONSIBILITY OF THE ATTENDING PHYSICIAN.
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| Patient Name: |