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. 2014 May;6(Suppl 2):S228–S237. doi: 10.3978/j.issn.2072-1439.2014.04.19

Table 2. Masaoka and Masaoka/Koga staging systems for thymic tumors.

The Masaoka staging system-1981
Stage Description
I Macroscopically encapsulated tumor without microscopic invasion of capsule
II Macroscopic invasion into surrounding fatty tissue or mediastinal pleura or microscopic invasion into capsule
III Macroscopic invasion into neighboring organs; i.e., pericardium, great vessels or lung
IV a Pleural or pericardial dissemination
b Lymphogenous or hematogenous metastasis
The Masaoka-Koga staging system-1994
Tumor stage Description
I Grossly and microscopically completely encapsulated tumor
II a Microscopic transcapsular invasion
b Macroscopic invasion into thymic or surrounding fatty tissue, or grossly adherent but not breaking through mediastinal pleura or pericardium
III Macroscopic invasion of neighboring organs (pericardium, great vessels or lung)
IV a Pleural or pericardial dissemination
b Lymphatic or hematogenous metastasis