Table 1.
Stage systems AJCC, Dukes, and Astler-Coller. AJCC system is the most used and precise staging system for CRC and combines three letters (T: for the primary tumour, N: for spread to lymph nodes, and M: for metastasis) and numbers from 0 to 4 (indicating more severity for a higher number).
AJCC/TNM | Dukes | Astler-Coller | |
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Stage 0 | Tis, N0, M0 | — | — |
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Stage I | T1-T2, N0, M0 | A | A, B1 |
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Stage IIA | T3, N0, M0 | B | B2 |
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Stage IIB | T4a, N0, M0 | B | B2 |
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Stage IIC | T4b, N0, M0 | B | B3 |
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Stage IIIA | T1-T2, N1, M0 | C | C1 |
T1, N2a, M0 | |||
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Stage IIIB | T3-T4a, N1, M0 | C | C1, C2 |
T2-T3, N2a, M0 | |||
T1-T2, N2b, M0 | |||
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Stage IIIC | T4a, N2a, M0 | C | C2, C3 |
T3-T4, N2b, M0 | |||
T4b, N1-N2, M0 | |||
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Stage IV | Any T, Any N, M1a | — | D |
Any T, Any N, M1b |