|
Staging (Soft Tissue)
|  |
|
Staging (Soft Tissue)
| |
Pathologic Staging (pTNM)
CAP Approved Other • Soft Tissue 4.0.0.0
TNM Descriptors (required only if applicable) (select all that apply)
___ m (multiple)
___ r (recurrent)
___ y (posttreatment)
Primary Tumor (pT)
Head and Neck
___ pTX: Primary tumor cannot be assessed
___ pT1: Tumor ≤2 cm
___ pT2: Tumor >2 to ≤4 cm
___ pT3: Tumor >4 cm
___ pT4: Tumor with invasion of adjoining structures
___ pT4a: Tumor with orbital invasion, skull base/dural invasion, invasion of central compartment viscera, involvement of facial skeleton, or invasion of pterygoid muscles
___ pT4b: Tumor with brain parenchymal invasion, carotid artery encasement, prevertebral muscle invasion, or central nervous system involvement via perineural spread
Trunk and Extremities
___ pTX: Primary tumor cannot be assessed
___ pT0: No evidence of primary tumor
___ pT1: Tumor 5 cm or less in greatest dimension
___ pT2: Tumor more than 5 cm and less than or equal to 10 cm in greatest dimension
___ pT3: Tumor more than 10 cm and less than or equal to 15 cm in greatest dimension
___ pT4: Tumor more than 15 cm in greatest dimension
Abdomen and Thoracic Visceral Organs
___ pTX: Primary tumor cannot be assessed
___ pT1: Organ confined
___ pT2: Tumor extension into tissue beyond organ
___ pT2a: Invades serosa or visceral peritoneum
___ pT2b: Extension beyond serosa (mesentery)
___ pT3: Invades another organ
___ pT4: Multifocal involvement
___ pT4a: Multifocal (2 sites)
___ pT4b: Multifocal (3-5 sites)
___ pT4c: Multifocal (>5 sites)
Retroperitoneum
___ pTX: Primary tumor cannot be assessed
___ pT0: No evidence of primary tumor
___ pT1: Tumor 5 cm or less in greatest dimension
___ pT2: Tumor more than 5 cm and less than or equal to 10 cm in greatest dimension
___ pT3: Tumor more than 10 cm and less than or equal to 15 cm in greatest dimension
___ pT4: Tumor more than 15 cm in greatest dimension
Orbit
___ pTX: Primary tumor cannot be assessed
___ pT0: No evidence of primary tumor
___ pT1: Tumor ≤2 cm in greatest dimension
___ pT2: Tumor >2 cm in greatest dimension without invasion of bony walls or globe
___ pT3: Tumor of any size with invasion of bony walls
___ pT4: Tumor of any size with invasion of globe or periorbital structures, including eyelid, conjunctiva, temporal fossa, nasal cavity, paranasal sinuses, and/or central nervous system
Regional Lymph Nodes (pN)
___ pN0: No regional lymph node metastasis or unknown lymph node status
___ pN1: Regional lymph node metastasis
Distant Metastasis (pM) (required only if confirmed pathologically in this case)
___ pM1: Distant metastasis
Specify site(s), if known: ____________________________
Summary of changes from AJCC 7th to 8th edition