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