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Staging (Testis)
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Staging (Testis)
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Pathologic Staging (pTNM)
CAP Approved Genitourinary • Testis 4.0.0.0 (AJCC 8th ed.)
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
___ pTis: Germ cell neoplasia in situ
___ pT1: Tumor limited to testis (including rete testis invasion) without lymphovascular invasion
___ pT1a: Tumor smaller than 3 cm in size#
___ pT1b: Tumor 3 cm or larger in size#
___ pT2: Tumor limited to testis (including rete testis invasion) with lymphovascular invasion OR Tumor invading hilar soft tissue or epididymis or penetrating visceral mesothelial layer covering the external surface of tunica albuginea with or without lymphovascular invasion
___ pT3: Tumor invades spermatic cord with or without lymphovascular invasion
___ pT4: Tumor invades scrotum with or without lymphovascular invasion
# Subclassification of pT1 applies only to pure seminoma
Regional Lymph Nodes (pN)
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___ pNX: |
Cannot be assessed |
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___ pN0: |
No regional lymph node metastasis |
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___ pN1: |
Metastasis with a lymph node mass 2 cm or smaller in greatest dimension and less than or equal to 5 nodes positive, none larger than 2 cm in greatest dimension |
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___ pN2: |
Metastasis with a lymph node mass larger than 2 cm but not larger than 5 cm in greatest dimension; or more than 5 nodes positive, none larger than 5 cm; or evidence of extranodal extension of tumor |
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___ pN3: |
Metastasis with a lymph node mass larger than 5 cm in greatest dimension |
Distant Metastasis (pM)
___ Not applicable
___ pM1: Distant metastasis
___ pM1a: Nonretroperitoneal nodal or pulmonary metastases
___ pM1b: Nonpulmonary visceral metastases (specify site(s), if known:)
Testis CAP 4.0.0.0 summary of pTNM changes AJCC 7th to 8th edition