Acinic cell carcinoma classification: Difference between revisions
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{| | {| style="border: 0px; font-size: 90%; margin: 3px; width:600px" | ||
!T category | | valign="top" | | ||
!N category | |+ | ||
!M category | '''TNM staging''' | ||
! style="background: #4479BA; width: 250px;" |{{fontcolor|#FFF|T category}} | |||
! style="background: #4479BA; width: 250px;" |{{fontcolor|#FFF|N category}} | |||
! style="background: #4479BA; width: 250px;" |{{fontcolor|#FFF|M category}} | |||
|- | |- | ||
|TX: Primary tumor cannot be assessed | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |TX: Primary tumor cannot be assessed | ||
|NX: Regional lymph nodes cannot be assessed | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |NX: Regional lymph nodes cannot be assessed | ||
|M0: No distant metastasis | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |M0: No distant metastasis | ||
|- | |- | ||
|T0: No evidence of primary tumor | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |T0: No evidence of primary tumor | ||
|N0: No regional lymph node metastasis | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N0: No regional lymph node metastasis | ||
|M1: Distant metastasis | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |M1: Distant metastasis | ||
|- | |- | ||
|Tis: Carcinoma ''in situ'' | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |Tis: Carcinoma ''in situ'' | ||
|N1: Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(–) | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N1: Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(–) | ||
|- | |- | ||
|T1: Tumor 2 cm or smaller in greatest dimension without extraparenchymal extension | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |T1: Tumor 2 cm or smaller in greatest dimension without extraparenchymal extension | ||
|N2:Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(+); '''or''' | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N2:Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(+); '''or''' | ||
Larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–); '''or''' | Larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–); '''or''' | ||
Metastases in multiple ipsilateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–); '''or''' | Metastases in multiple ipsilateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–); '''or''' | ||
In bilateral or contralateral lymph nodes, none larger than 6 cm in greatest dimension and ENE(–) | In bilateral or contralateral lymph nodes, none larger than 6 cm in greatest dimension and ENE(–) | ||
|- | |- | ||
|T2: Tumor larger than 2 cm but not larger than 4 cm in greatest dimension without extraparenchymal extension | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |T2: Tumor larger than 2 cm but not larger than 4 cm in greatest dimension without extraparenchymal extension | ||
|N2a: Metastasis in single ipsilateral node 3 cm or smaller in greatest dimension and ENE(+); '''or''' | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N2a: Metastasis in single ipsilateral node 3 cm or smaller in greatest dimension and ENE(+); '''or''' | ||
A single ipsilateral node larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–) | A single ipsilateral node larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–) | ||
|- | |- | ||
|T3: Tumor larger than 4 cm and/or tumor having extraparenchymal extension | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |T3: Tumor larger than 4 cm and/or tumor having extraparenchymal extension | ||
|N2b: Metastases in multiple ipsilateral nodes, none larger than 6 cm in greatest dimension and ENE(–) | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N2b: Metastases in multiple ipsilateral nodes, none larger than 6 cm in greatest dimension and ENE(–) | ||
|- | |- | ||
|T4a: Moderately advanced disease. | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |T4a: Moderately advanced disease. | ||
Tumor invades skin, mandible, ear canal, and/or facial nerve. | Tumor invades skin, mandible, ear canal, and/or facial nerve. | ||
|N2c: Metastases in bilateral or contralateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–) | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N2c: Metastases in bilateral or contralateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–) | ||
|- | |- | ||
|T4b:Very advanced disease. | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |T4b:Very advanced disease. | ||
Tumor invades skull base and/or pterygoid plates and/or encases carotid artery. | Tumor invades skull base and/or pterygoid plates and/or encases carotid artery. | ||
|N3: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–); '''or''' | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N3: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–); '''or''' | ||
In a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); '''or''' | In a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); '''or''' | ||
Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); '''or''' | Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); '''or''' | ||
A single contralateral node of any size and ENE(+) | A single contralateral node of any size and ENE(+) | ||
|- | |- | ||
| | | | ||
|N3a: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–) | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N3a: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–) | ||
|- | |- | ||
| | | | ||
|N3b: Metastasis in a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); '''or''' | | style="padding: 5px 5px; background: #F5F5F5; font-weight: bold" align="center" |N3b: Metastasis in a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); '''or''' | ||
Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); '''or''' | Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); '''or''' | ||
A single contralateral node of any size and ENE(+) | A single contralateral node of any size and ENE(+) | ||
|} | |} | ||
Revision as of 15:09, 4 September 2019
Acinic cell carcinoma Microchapters |
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Treatment |
Case studies |
Acinic cell carcinoma classification On the Web |
American Roentgen Ray Society Images of Acinic cell carcinoma classification |
Risk calculators and risk factors for Acinic cell carcinoma classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]
Overview
According to the 8th edition of American Joint Committee on Cancer(AJCC) and Union for International Cancer Control (UICC)the staging of salivary gland neoplasms are staged by TNM system.This means acinic cell carcinoma is staged based on tumor, node, and metastasis similar to squamous cell carcinoma.
Classification
According to the 8th edition of American Joint Committee on Cancer(AJCC) and Union for International Cancer Control (UICC)the staging of salivary gland neoplasms are staged by TNM system.[1] This means acinic cell carcinoma is staged based on tumor, node, and metastasis similar to squamous cell carcinoma.
T category | N category | M category |
---|---|---|
TX: Primary tumor cannot be assessed | NX: Regional lymph nodes cannot be assessed | M0: No distant metastasis |
T0: No evidence of primary tumor | N0: No regional lymph node metastasis | M1: Distant metastasis |
Tis: Carcinoma in situ | N1: Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(–) | |
T1: Tumor 2 cm or smaller in greatest dimension without extraparenchymal extension | N2:Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(+); or
Larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–); or Metastases in multiple ipsilateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–); or In bilateral or contralateral lymph nodes, none larger than 6 cm in greatest dimension and ENE(–) | |
T2: Tumor larger than 2 cm but not larger than 4 cm in greatest dimension without extraparenchymal extension | N2a: Metastasis in single ipsilateral node 3 cm or smaller in greatest dimension and ENE(+); or
A single ipsilateral node larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–) | |
T3: Tumor larger than 4 cm and/or tumor having extraparenchymal extension | N2b: Metastases in multiple ipsilateral nodes, none larger than 6 cm in greatest dimension and ENE(–) | |
T4a: Moderately advanced disease.
Tumor invades skin, mandible, ear canal, and/or facial nerve. |
N2c: Metastases in bilateral or contralateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–) | |
T4b:Very advanced disease.
Tumor invades skull base and/or pterygoid plates and/or encases carotid artery. |
N3: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–); or
In a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); or Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); or A single contralateral node of any size and ENE(+) | |
N3a: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–) | ||
N3b: Metastasis in a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); or
Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); or A single contralateral node of any size and ENE(+) |
References
- ↑ Son, Eugene; Panwar, Aru; Mosher, Charles H.; Lydiatt, Daniel (2018). "Cancers of the Major Salivary Gland". Journal of Oncology Practice. 14 (2): 99–108. doi:10.1200/JOP.2017.026856. ISSN 1554-7477.