Pathologic Staging (AJCC 8th Edition pTNM)

CAP Approved Genitourinary • Prostate 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)

___ Not identified

___ pT2:          Organ confined

___ pT3a:         Extraprostatic extension or microscopic invasion of bladder neck

___ pT3b:         Seminal vesicle invasion

___ pT4:               Tumor is fixed or invades adjacent structures other than seminal vesicles such as external sphincter, rectum, bladder, levator muscles, and/or pelvic wall

Note: There is no pathologic T1 classification. Positive surgical margin should be indicated by an R1 descriptor, indicating residual microscopic disease

Regional Lymph Nodes (pN)

___ pNX:         Cannot be assessed

___ pN0:         No regional lymph node metastasis

___ pN1:         Metastasis in regional lymph node or nodes

Distant Metastasis (pM)

___ Not applicable

___ pM1:   Distant metastasis

___ pM1a:  Nonregional lymph nodes(s)

___ pM1b:  Bone(s)

___ pM1c:  Other site(s) with or without bone disease

Note: When more than 1 site of metastasis is present, the most advanced category is used.  pM1c is most advanced.

Summary of changes AJCC 7th to 8th edition:

• Just use T2; there is no more T2a, T2b or T2c

Genitourinary

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