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Staging (Kidney)
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Staging (Kidney)
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Pathologic Staging (pTNM)
CAP Approved Genitourinary • Kidney 4.0.1.0
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: Tumor ≤7 cm in greatest dimension, limited to the kidney
___ pT1a: Tumor ≤4 cm in greatest dimension, limited to the kidney
___ pT1b: Tumor >4 cm but ≤7 cm in greatest dimension limited to the kidney
___ pT2: Tumor >7 cm in greatest dimension, limited to the kidney
___ pT2a: Tumor >7 cm but ≤10 cm in greatest dimension, limited to the kidney
___ pT2b: Tumor >10 cm, limited to the kidney
___ pT3: Tumor extends into major veins or perinephric tissues, but not into the ipsilateral adrenal gland and not beyond Gerota’s fascia
___ pT3a: Tumor extends into the renal vein or its segmental branches, or invades the pelvicalyceal system, or invades perirenal and/or renal sinus fat but not beyond Gerota’s fascia
___ pT3b: Tumor extends into the vena cava below the diaphragm
___ pT3c: Tumor extends into vena cava above the diaphragm or invades the wall of the vena cava
___ pT4: Tumor invades beyond Gerota’s fascia (including contiguous extension into the ipsilateral adrenal gland)
Regional Lymph Nodes (pN)
___ pNX: Regional lymph nodes cannot be assessed
___ pN0: No regional lymph node metastasis
___ pN1: Metastasis in regional lymph node(s)
Distant Metastasis (pM) (required only if confirmed pathologically in this case)
___ pM1: Distant metastasis
Specify site(s), if known: _________________________