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. 2018 Sep 21;115(38):628–635. doi: 10.3238/arztebl.2018.0628

eTable. Staging of breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL).

Tumor extent (T) T1 T2 T3 T4
Confined to seroma or a layer on luminal side of capsule Early capsule infiltration Cell aggregates or sheets infiltrating the capsule Lymphoma infiltrates beyond the capsule
Lymph nodes (N) N0 N1 N2
No lymph node involvement One regional lymph node positive Multiple regional lymph nodes positive
Metastases (M) M0 M1
No distant spread Spread to other organs/distant sites
Stage: Frequency:
IA T(1)N(0)M(0) 35.6%
IB T(2)N(0)M(0) 11.5%
IC T(3)N(0)M(0) 13.8%
IIA T(4)N(0)M(0) 25.3%
IIB T(1–3)N(1)M(0) 4.6%
III T(4)N(1–2)M(0) 9.2%
IV T(any)N(any)M(1) 0%

Data modified from Clemens et al. J Clin Oncol 2016; 34: 160–8 (9)