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==Staging of adrenocortical carcinoma==
==Staging of adrenocortical carcinoma==
The AJCC has designated staging by TNM to define adrenocortical carcinoma<ref name=AJCC Cancer Staging Manual>Adrenal. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 516-7</ref>
The AJCC has designated staging by TNM to define adrenocortical carcinoma<ref name=AJCC Cancer Staging Manual>Adrenal. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 516-7</ref>
 
===Staging according to TNM staging system===
Staging according to [[tumor]] size (T):
{| {{table}}
 
| TX
| Primary tumor cannot be assessed.
|-
| T0||No evidence of primary tumor.
|-
| T1||Tumor ≤5 cm in greatest dimension, no extra-adrenal invasion.
|-
| T2||Tumor >5 cm, no extra-adrenal invasion.
|-
| T3||Tumor of any size with local invasion, but not invading adjacent organs.
|-
| T4||Tumor of any size with invasion of adjacent organs.
|-
|}
 
Staging according to regional lymph nodes (N):
 
{| {{table}}
| NX
| Regional lymph nodes cannot be assessed.
|-
| N0||No regional lymph node metastasis.
|-
| N1||Metastases in regional lymph node(s).
|}
 
Staging according to [[metastasis]] (M):
{| {{table}}
| M0
| No distant metastasis.
|-
| M1||Distant metastasis.
|}
 
Staging according to [[TNM staging system]]:
{|{{table}}
{|{{table}}
| Stage
| Stage
Line 70: Line 32:
| ||Any T||Any N||M1
| ||Any T||Any N||M1
|-
|-
|}
===Tumor size (T)===
{| {{table}}
| TX
| Primary tumor cannot be assessed
|-
| T0||No evidence of primary tumor
|-
| T1||Tumor ≤5 cm in greatest dimension, no extra-adrenal invasion
|-
| T2||Tumor >5 cm, no extra-adrenal invasion
|-
| T3||Tumor of any size with local invasion, but not invading adjacent organs
|-
| T4||Tumor of any size with invasion of adjacent organs
|-
|}
===Lymph nodes (N)===
{| {{table}}
| NX
| Regional lymph nodes cannot be assessed
|-
| N0||No regional lymph node metastasis
|-
| N1||Metastases in regional lymph node(s)
|}
===Metastasis (M)===
{| {{table}}
| M0
| No distant metastasis
|-
| M1||Distant metastasis
|}
|}



Revision as of 21:33, 27 August 2015

Adrenocortical carcinoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

According to the TNM staging system, there are four stages of adrenocortical cancer based on the tumor size, lymph nodes, and distant metastasis. Each stage is assigned a number and letter that designates the number of lymph nodes involved and presence/absence of distant metastasis.

Staging of adrenocortical carcinoma

The AJCC has designated staging by TNM to define adrenocortical carcinoma

Staging according to TNM staging system

Stage T N M
I T1 N0 M0
II T2 N0 M0
III T1 N1 M0
T2 N1 M0
T3 N0 M0
IV T3 N1 M0
T4 N0 M0
T4 N1 M0
Any T Any N M1

Tumor size (T)

TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
T1 Tumor ≤5 cm in greatest dimension, no extra-adrenal invasion
T2 Tumor >5 cm, no extra-adrenal invasion
T3 Tumor of any size with local invasion, but not invading adjacent organs
T4 Tumor of any size with invasion of adjacent organs

Lymph nodes (N)

NX Regional lymph nodes cannot be assessed
N0 No regional lymph node metastasis
N1 Metastases in regional lymph node(s)

Metastasis (M)

M0 No distant metastasis
M1 Distant metastasis

References

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