Skip to main content
. 2018 Jul 2;7(8):3611–3621. doi: 10.1002/cam4.1629

Table 1.

Definitions of T, N, M, G, ER, PR, and A for SEER breast cancer data diagnosed 1990‐2003

Categories Criteria
Tumor size (T) Tis Carcinoma in situ
T1 Tumor 2 cm or less in greatest dimension
T2 Tumor more than 2 cm but not more than 5 cm in greatest dimension
T3 Tumor more than 5 cm in greatest dimension
T4 Tumor of any size with direct extension to (a) chest wall or (b) skin, only as described below
T4a Extension to chest wall, not including pectoralis muscle
T4b Edema (including peau d'orange) or ulceration of the skin of the breast, or satellite skin nodules confined to the same breast
T4c Both T4a and T4b
T4d Inflammatory carcinoma
Regional positive lymph nodes (N) N0 No regional lymph node metastasis histologically
N1 Metastasis in 1 to 3 axillary lymph nodes, and/or in internal mammary nodes with microscopic disease detected by sentinel lymph node dissection but not clinically apparent
N2 Metastasis in 4 to 9 axillary lymph nodes, or in clinically apparent internal mammary lymph nodes in the absence of axillary lymph node metastasis
N3 Metastasis in 10 or more axillary lymph nodes, or in infraclavicular lymph nodes, or in clinically apparent ipsilateral internal mammary lymph nodes in the presence of 1 or more positive axillary lymph nodes; or in more than 3 axillary lymph nodes with clinically negative microscopic metastasis in internal mammary lymph nodes; or in ipsilateral supraclavicular lymph nodes
Distant metastasis (M) M0 No distant metastasis
M1 Distant metastasis
Histological grade (G) G1 Well differentiated
G2 Moderately differentiated
G3 Poorly differentiated or undifferentiated
Estrogen receptor expression (ER) ER+ Cancer cells can receive signals from estrogen
ER− Cancer cells cannot receive signals from estrogen
Progesterone receptor expression (PR) PR+ Cancer cells can receive signals from progesterone
PR− Cancer cells cannot receive signals from progesterone
Age at diagnosis (A) A1 Age at diagnosis ranging from 20 to 50 in years
A2 Age at diagnosis equal to or larger than 51 in years