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. 2022 Mar 14;39:1–6. doi: 10.1016/j.euros.2022.02.009

Table 1.

Staging systems of urachal carcinoma

Stage Sheldon staging system [2] Mayo staging system [2] TNM staging system
Localized disease I Tumor is limited to the urachal mucosa Tumor is confined to the urachus and/or bladder T1 Tumor invades the subepithelial connective tissue
II Invasion confined to the urachus itself (not beyond muscle layer) Extension beyond the muscular layer of the urachus and/or bladder T2 Invasion of the muscular layer of the urachus or bladder
Locally advanced disease III IIIA Local extension to the bladder Metastasis to regional lymph nodes T3 Invasion of the perivisceral soft tissue, prostate, uterus, or vagina
IIIB Local extension to abdominal wall
IIIC Invasion of the peritoneum
IIID Invasion of the local viscera other than the bladder
Advanced disease IV IVA Metastasis to lymph nodes Metastasis to nonregional lymph nodes or other distant sites T4 Invasion of the abdominal wall and metastasis to lymph nodes or other distant sites
IVB Distant metastasis

TNM = tumor, node, metastasis.