Table IV.

Clinical and pathological staging for cutaneous melanomas

Clinical staging*				Pathological staging†
0	Tis	N0	M0	0	Tis	N0	M0
IA	T1a	N0	M0	IA	T1a	N0	M0
IB	T1b	N0	M0	IB	T1b	N0	M0
	T2a	N0	M0		T2a	N0	M0
IIA	T2b	N0	M0	IIA	T2b	N0	M0
	T3a	N0	M0		T3a	N0	M0
IIB	T3b	N0	M0	IIB	T3b	N0	M0
	T4a	N0	M0		T4a	N0	M0
IIC	T4b	N0	M0	IIC	T4b	N0	M0
III	Any T	N > N0	M0	IIIA	T1–4a	N1a	M0
					T1–4a	N2a	M0
				IIIB	T1–4b	N1a	M0
					T1–4b	N2a	M0
					T1–4b	N1b	M0
					T1–4b	N2b	M0
					T1–4b	N2c	M0
				IIIC	T1–4b	N1b	M0
					T1–4b	N2b	M0
					T1–4b	N2c	M0
					Any T	N3	M0
IV	Any T	Any N	M1	IV	Any T	Any N	M1

* Clinical staging includes microstaging of the primary melanoma and clinical and/or radiologic evaluation for metastases. By convention, it should be used after complete excision of the primary melanoma with clinical assessment for regional and distant metastases

† Pathological staging includes microstaging of the primary melanoma and pathological information about the regional lymph nodes after partial or complete lymphadenectomy. Pathological stage 0 or IA patients are the exception; they do not require pathological evaluation of their lymph nodes