DATA FORM FOR CANCER STAGING - TESTIS
Form # 785-1-044
| CLIN | PATH | DEFINITIONS | |
| PRIMARY TUMOR (T) | |||
| pTX | Primary tumor cannot be assessed (If no radical orchiectomy has been pergormed, TX is used) | ||
| pT0 | No evidence of primary tumor (e.g. histologic scar in testis) | ||
| pTis | Intratubular tumor: preinvasive cancer | ||
| pT1 | Tumor limited to testis, including rete testis | ||
| pT2 | Tumor invades beyond tunica albyginea or into epididymis | ||
| pT3 | Tumor invades spermatic cord | ||
| pT4 | Tumor invades scrotum | ||
| LYMPH NODE (N) | |||
| NX | Regional lymph nodes cannot be assessed | ||
| N0 | No regional lymph node metastasis | ||
| N1 | Metastasis in a single lymph node, 2 cm or less in greatest dimension | ||
| N2 | Metastasis in a single lymph node, more than 2 cm but not more than 5 cm in greatest dimension, or multiple lymph nodes, none more than 5 cm in greatest diameter | ||
| N3 | Metastasis in a lymph node more than 5 cm in greatest dimension | ||
| DISTANT METASTASIS (M) | |||
| MX | Presence of distant metastasis cannot be assessed | ||
| M0 | No distant metastasis | ||
| M1 | Distant metastasis | ||
| CLIN | PATH | STAGE GROUPING | |||
| 0 | pTis | N0 | M0 | ||
| I | Any pT | N0 | M0 | ||
| II | Any pT | N1 | M0 | ||
| Any pT | N2 | M0 | |||
| Any pT | N3 | M0 | |||
| III | Any pT | Any N | M1 | ||
THE FINAL STAGE GROUPING (CLINICAL & PATHOLOGICAL) IS THE RESPONSIBILITY OF THE ATTENDING PHYSICIAN.
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| Patient Name: |