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. 2009 Jun 5;10(4):603–620. doi: 10.1093/biostatistics/kxp016

Table 1.

Current American Joint Committee on Cancer TNM classifications and stage groupings of esophageal cancer (American Joint Committee on Cancer, 2002), slightly modified for clarity

TNM classifications
    Primary tumor (T)
        TX Primary tumor cannot be assessed
        Tis Carcinoma in situ (noninvasive cancer)
        T1 Tumor invades mucosa (T1a) or submucosa (T1b)
        T2 Tumor invades muscularis propria
        T3 Tumor invades adventitia
        T4 Tumor invades adjacent structures
    Regional lymph nodes (N)
        NX Regional lymph nodes cannot be assessed
        N0 No regional lymph node metastasis
        N1 Regional lymph node metastasis (cancer-positive lymph nodes)
    Distant metastasis (M)
        MX Distant metastasis cannot be assessed
        M0 No distant metastasis
        M1 Distant metastasis (M1a, M1b)
NonTNM cancer characteristics
    Histopathologic type Squamous cell carcinoma, adenocarcinoma
    Histologic grade (G)
        GX Grade cannot be assessed
        G1 Well differentiated
        G2 Moderately differentiated
        G3 Poorly differentiated
        G4 Undifferentiated
Stage groupings
    0 Tis N0 M0
    I T1 N0 M0
    IIA T2–3 N0 M0
    IIB T1–2 N1 M0
    III T3 N1 M0
T4 Any N M0
    IV Any T Any N M1
    IVA Any T Any N M1a
    IVB Any T Any N M1b

M1a = metastases to select nonregional lymph nodes.

M1b = other distant metastases.