Pathologic Staging (pTNM)

CAP Approved Genitourinary • Urinary Bladder 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)

pT2: Tumor invades muscularis propria (detrusor muscle)

___ pT2a:         Tumor invades superficial muscularis propria (inner half) ___ pT2b:         Tumor invades deep muscularis propria (outer half) pT3: Tumor invades perivesical tissue

___ pT3a:         Microscopically

___ pT3b:         Macroscopically (extravesicular mass)

pT4: Tumor invades any of the following: prostatic stroma, seminal vesicles, uterus, vagina, pelvic wall, abdominal wall

___ pT4a:         Extravesical tumor invades directly into prostatic stroma, seminal vesicles, uterus or vagina

___ pT4b:             Extravesical tumor invades pelvic wall, or abdominal wall

Regional Lymph Nodes (pN)

___ pNX: Lymph nodes cannot be assessed

___ pN0: No lymph node metastasis

___ pN1: Single regional lymph node metastasis in the true pelvis (perivesical, obturator, internal and external iliac or sacral lymph node)

___ pN2: Multiple regional lymph node metastasis in the true pelvis (perivesical, obturator, internal and external iliac or sacral lymph node metastasis)

___ pN3: Lymph node metastasis to the common iliac lymph nodes

Distant Metastasis (pM)

___ Not applicable

___ pM1: Distant metastasis (specify site(s) if known)

___ pM1a: Distant metastasis limited to lymph nodes beyond the common iliacs

___ pM1b: Non-lymph node distant metastases

Urinary Bladder CAP 4.0.0.0 summary of pTNM changes AJCC 7th to 8th edition

• pTNM requested to be included in TURBT template for Troy pathologists
• Added “Noninvasive low-grade” to margin section
• pT4a now lists “seminal vesicles”
• pN1/pN2 removed “hypogastric”
• pN1/pN2 added “internal” (iliac)

M1 now divided into M1a and M1b (“Distant metastasis limited to lymph nodes beyond the common iliacs” and “Non-lymph node distant metastases” respectively

Genitourinary

Comments

Click here to leave feedback