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. 2017 Jul 4;9:461–471. doi: 10.2147/BCTT.S111098

Table 1.

TNM classification for breast cancer

pT Tumor size
Tis In situ
T1a (cm) ≤0.5
T1b (cm) 0.5–1
T1c (cm) 1–2
T2 (cm) 2–5
T3 (cm) >5
T4a Extension to chest wall (does not include pectoralis muscle invasion)
T4b Ulceration, ipsilateral satellite skin nodules, skin edema
T4c a+b
T4d Inflammatory cancer
pN Lymph node
N0 No lymph node metastasis
N1a 1–3 axillary nodes
N1b Internal mammary nodes with metastasis by sentinel node biopsy but not clinically detected
N1c a+b
N2a 4–9 axillary nodes
N2b Internal mammary nodes, clinically detected, without axillary nodes
N3a >10 axillary nodes or infraclavicular
N3b Internal mammary nodes, clinically detected, with axillary nodes or >3 axillary nodes and internal axillary mammary nodes with microscopic metastasis by sentinel node biopsy but not clinically detected
N3c Supraclavicular
M Metastasis
M0 No distant metastasis
Ml Distant metastasis
Stage T N M
Breast cancer staging
0 Tis N0 M0
IA T1 N0 M0
IB T0/T1 N1 micro M0
IIA T0/T1 N1 M0
T2 N0 M0
IIB T2 N1 M0
T3 N0 M0
IIIA T0/T1/T2 N2 M0
T3 N1/N2 M0
IIIB T4 N0/N1/N2 M0
IIIC Any T N3 M0
IV Any T Any N Ml

Abbreviations: pT, tumor size; TNM, tumor, node, metastasis.