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. 2019 Jul 1;25(4):270–279. doi: 10.5152/dir.2019.18458

Table 1.

T classification for appearance on chest CT for TNM 8th edition

T classification T components on CT
Tis (AIS) Pure GGN ≤ 3 cm

T1 T1mi ≤ 0.5 cm solid part within part-solid tumor total size ≤3 cm
T1a 0.6–1.0 cm solid part within part-solid tumor total size ≤3 cm
Pure GGN >3 cm
≤ 1 cm solid tumor
T1b 1.1–2.0 cm solid part within part-solid tumor total size ≤3 cm
>1–2 cm solid tumor
T1c 2.1–3 cm solid part within part-solid tumor total size ≤3 cm
>2–3 cm solid tumor

T2 T2a 3.1–4 cm Involves main bronchus without involvement of carina
T2b 4.1–5 cm Total/partial atelectasis
Total/partial pneumonitis
Involves hilar fat
Involves visceral pleura (PL1 or PL2)

T3 5.1–7 cm Separate tumor nodules in the same lobe as the primary
Involves parietal pleura (PL3)
Parietal pericardium
Chest wall
Phrenic nerve

T4 >7 cm Involves diaphragm
Mediastinal fat or other mediastinal structures (trachea, great vessels, heart, recurrent laryngeal nerve, esophagus)
Carina
Vertebral body
Visceral pericardium
Separate tumor nodules in the same lung but different lobes as the primary

Source: References (8) and (16).

CT, computed tomography; AIS, adenocarcinoma in situ; GGN, ground-glass nodules; mi, minimally invasive; PL1, tumor invasion of the elastic layer of visceral pleura without reaching the visceral pleural surface; PL2, tumor invasion of the visceral pleural surface; PL3, tumor invasion of the parietal pleura or chest wall.