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Staging (Hepatocellular Carcinoma)
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Staging (Hepatocellular Carcinoma)
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Pathologic Staging (pTNM) (AJCC 8th Edition)
CAP Approved Gastrointestinal • Hepatocellular Carcinoma 4.0.0.0
TNM Descriptors (required only if applicable) (select all that apply)
___ m (multiple primary tumors)
___ r (recurrent)
___ y (posttreatment)
Primary Tumor (pT)
___ pTX: Primary tumor cannot be assessed
___ pT0: No evidence of primary tumor
___ pT1: Solitary tumor <2 cm, or >2 cm without vascular invasion
___ pT1a: Solitary tumor ≤2 cm
___ pT1b: Solitary tumor >2 cm without vascular invasion
___ pT2: Solitary tumor >2 cm with vascular invasion, or multiple tumors, none >5 cm
___ pT3: Multiple tumors, at least one of which is >5 cm
___ pT4: Single tumor or multiple tumors of any size involving a major branch of the portal vein or hepatic vein, or tumor(s) with direct invasion of adjacent organs other than the gallbladder or with perforation of visceral peritoneum
Regional Lymph Nodes (pN)
___ pNX: Regional lymph nodes cannot be assessed
___ pN0: No regional lymph node metastasis
___ pN1: Regional lymph node metastasis
Distant Metastasis (pM) (required only if confirmed pathologically in this case)
___ pM1: Distant metastasis
+ Specify site(s), if known: ____________________________
Summary of changes AJCC 7th to 8th edition