Table 1.
Definitions and Staging System of the American Joint Committee on Cancer, 7th Edition [74]
Primary tumour | Regional Lymph Nodes | Distant metastasis | Gradea | |
---|---|---|---|---|
Stage IA | T1a | N0 | M0 | G1, GX |
T1b | N0 | M0 | G1, GX | |
Stage IB | T2a | N0 | M0 | G1, GX |
T2b | N0 | M0 | G1, GX | |
Stage IIA | T1a | N0 | M0 | G2, G3 |
T1b | N0 | M0 | G2, G3 | |
Stage IIB | T2a | N0 | M0 | G2 |
T2b | N0 | M0 | G2 | |
Stage III | T2a, T2b | N0 | M0 | G3 |
Any T | N1 | M0 | Any G | |
Stage IV | Any T | Any N | M1 | Any G |
Primary Tumour (T)
TX, Primary tumour cannot be assessed
T0, No evidence of primary tumour
T1, Tumour 5 cm or less in greatest dimension*
-T1a, Superficial tumour
-T1b, Deep tumour
T2, Tumour larger than 5 cm in greatest dimension*
-T2a, Superficial tumour
-T2b, Deep tumour
*Note: Superficial tumour is located exclusively above the superficial fascia without invasion of the fascia; deep tumour is located either exclusively beneath the superficial fascia, superficial to the fascia with invasion of or through the fascia, or both superficial to and beneath the fascia
Regional Lymph Nodes (N)
NX, Regional lymph nodes cannot be assessed
N0, No regional lymph node metastasis
N1**, Regional lymph node metastasis
**Note: Presence of positive nodes (N1) in M0 tumours is considered Stage III
Distant Metastasis (M)
M0, No distant metastasis
M1, Distant metastasis
aSee Table 2 for explanation FNCLCC grading system