Staging (Adrenal Glands)                                                
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Pathologic Staging (pTNM)

CAP Approved Endocrine • Adrenal Gland 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: 

Cannot be determined

___ pT0: 

No evidence of primary tumor

___ pT1: 

Tumor 5 cm or less in greatest dimension, no extra-adrenal invasion

___ pT2: 

Tumor greater than 5 cm, no extra-adrenal invasion

___ pT3: 

Tumor of any size with local invasion, but not invading adjacent organs

___ pT4: 

Tumor of any size with invasion of adjacent organs (kidney, diaphragm, pancreas, spleen, or liver) or large blood vessels (renal vein or vena cava)

Regional Lymph Nodes (pN)

___ pNX:         Cannot be assessed

___ pN0:         No regional lymph node metastasis

___ pN1:         Regional lymph node metastasis

Distant Metastasis (pM)

___ Not applicable

___ pM1:          Distant metastasis (specify site):


Summary of changes from AJCC 7th to 8th edition


Endocrine


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