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. 2021 May 28;96(4):458–471. doi: 10.1016/j.abd.2020.12.007

Table 2.

Revised TNMB classification for mycosis fungoides and Sézary syndrome.2, 5

Skin (T)
T1 Limited patches/plaques (covering <10% of the total skin surface)
T1a Patches only
T1b Plaques ± patches
T2 Generalized patches/plaques (covering ≥10% of the total skin surface)
T2a Patches only
T2b Plaques ± patches
T3 Tumor(s)
T4 Erythroderma
Lymph node (N)
N0 No clinically abnormal peripheral lymph nodes;
N1 Clinically abnormal peripheral lymph nodes; dermatopathic lymphadenopathy or histopathological involvement by isolated atypical lymphocytes, without alteration of the lymph node architecture
N1a Negative clone
N1b Positive clone
N2 Clinically abnormal peripheral lymph nodes; histopathological involvement by aggregates of atypical lymphocytes, without alteration of the lymph node architecture
N2a Negative clone
N2b Positive clone
N3 Clinically abnormal peripheral lymph nodes; frank histopathological involvement and partial/complete effacement of the lymph node architecture
NX Clinically abnormal peripheral lymph nodes; without histopathological confirmation
Viscera (M)
M0 Without visceral involvement
M1 With visceral involvement
Blood (B)
B0 There are no circulating atypical cells (Sézary cells; or <5% of atypical lymphocytes)
B0a Negative clone
B0b Positive clone
B1 Low tumor load in the blood (≥5% of lymphocytes are Sézary cells, but not B2 cells)
B1a Negative clone
B1b Positive clone
B2 Elevated tumor load in the blood and clonal rearrangement of the TCR (≥1000 Sézary cells/microL. and/or CD4:CD8 ≥ 10, and/or CD4 + CD7 - ≥40%, and/or CD4 + CD26 - ≥30%)