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Update
Series on Respiratory
Nursing |

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Carcinoma
of Lung |
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UICC/AJCC International Staging System For Lung Cancer [10] |
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TNM Definitions
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Primary Tumor (T) |
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TX:
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Primary tumor cannot be assessed, or tumor proven by the presence of
malignant cells in sputum or bronchial washings but not visualized by imaging
or bronchoscopy
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T0: |
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No evidence of primary tumor
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Tis: |
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Carcinoma in situ
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T1: |
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A tumor that is 3 cm or less in greatest dimension,
surrounded by lung or visceral pleura, and without bronchoscopic
evidence of invasion more proximal than the lcbar bronchus (i.e., not in
the main bronchus)
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T2: |
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A tumor with any of the following features of size or
extent: More than 3 cm in greatest dimension, involves the main
bronchus, 2 cm or more distal to the carina, invades the visceral
pleura, associated with atelectasis or obstructive pneumonitis that
extends to the hilar region but does not involve the entire lung
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T3: |
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A tumor of any size that directly invades any of the
following: chest wall (including superior sulcus tumours), diaphragm,
mediastinal pleura, parietal pericardium; or tumor in the main bronchus
less than 2 cm distal to the carina but without involvement of the
carina; or associated atelectasis or obstructive pneumonitis of the
entire lung
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T4: |
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A tumor of any size that invades any of the following:
mediastinum, heart, great vessels, trachea, oesophagus, vertebral body,
carina; or separate tumor nodules in the same lobe; or tumor with a
malignant pleural effusion
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Regional Lymph Nodes (N)¡@
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NX:
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Regional lymph nodes cannot be assessed
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N1: |
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Metastasis to ipsilateral peribronchial
and/or ipsilateral hilar lymph nodes, and intrapulmonary nodes
including involvement by direct extension of the primary tumor
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N2: |
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Metastasis to ipsilateral mediastinal
and/or subcarinal lymph node(s)
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N3: |
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Metastasis to contralateral mediastinal,
contralateral hilar, ipsilateral or contralateral scalene, or
supraclavicular lymph node(s)
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Distant Metastasis (M)¡@
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Specify sites according to the following notations:
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BRA = brain |
EYE = eye |
HEP = hepatic |
LYM = lymph nodes |
MAR = bone marrow |
OSS = osseous |
OTH = other |
OVR = ovary |
PER = peritoneal |
PLE = pleura |
PUL = pulmonary |
SKI = skin |
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Stage Groupings |
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Occult
carcinoma |
TX, N0, M0 |
Stage 0 |
Tis, N0,
M0 |
Stage
IA |
T1, N0, M0 |
Stage
IB |
T2, N0, M0 |
Stage
IIA |
T1, N1, M0 |
Stage
IIB |
T2, N1,M0 |
Stage IIIA |
T3, N0, M0 |
T1, N2, M0 |
T2, N2, M0 |
T3, N1, M0 |
T3, N2, M0 |
Stage IIIB |
Any T, N3,
M0 |
T4, Any N,
M0 |
Stage
IV |
AnyT, AnyN,
M1 |
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