Esophageal cancer staging: Difference between revisions
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| align="center" style="background:#f0f0f0;"|'''Stage''' | | align="center" style="background:#f0f0f0;"|'''Stage''' | ||
| align="center" style="background:#f0f0f0;"|'''T''' | | align="center" style="background:#f0f0f0;"|'''T''' | ||
| align="center" style="background:#f0f0f0;"|'''N''' | | align="center" style="background:#f0f0f0;"|'''N''' | ||
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| align="center" style="background:#f0f0f0;"|'''Grade''' | | align="center" style="background:#f0f0f0;"|'''Grade''' | ||
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| 0 | | 0||Tis ||N0||M0||1, X | ||
|- | |- | ||
| IA | | IA||T1||N0||M0||1–2, X | ||
|- | |- | ||
| IB | | IB||T1||N0||M0||3 | ||
|- | |- | ||
| ||T2||N0||M0||1–2, X | |||
|- | |- | ||
| IIA | | IIA||T2||N0||M0||3 | ||
|- | |- | ||
| IIB | | IIB||T3||N0||M0||Any | ||
|- | |- | ||
| ||T1–2||N1||M0||Any | |||
|- | |- | ||
| IIIA | | IIIA||T1–2||N2||M0||Any | ||
|- | |- | ||
| ||T3||N1||M0||Any | |||
|- | |- | ||
| ||T4a||N0||M0||Any | |||
|- | |- | ||
| IIIB | | IIIB||T3||N2||M0||Any | ||
|- | |- | ||
| IIIC | | IIIC||T4a||N1–2||M0||Any | ||
|- | |- | ||
| ||T4b||Any||M0||Any | |||
|- | |- | ||
| ||Any||N3||M0||Any | |||
|- | |- | ||
| IV | | IV||Any||Any||M1||Any | ||
|- | |- | ||
| | | |
Revision as of 15:57, 10 September 2015
Esophageal cancer Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Esophageal cancer staging On the Web |
American Roentgen Ray Society Images of Esophageal cancer staging |
Risk calculators and risk factors for Esophageal cancer staging |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
Overview
According to the American Joint Committee on Cancer, there are 4 stages of esophageal cancer based on the tumor spread.
Staging
The American Joint Committee on Cancer has designated staging by TNM classification to define cancer of the esophagus and esophagogastric junction:
Primary Tumor
- TX: Primary tumor cannot be assessed
- T0: No evidence of primary tumor
- Tis: High-grade dysplasia
- T1: Tumor invades lamina propria, muscularis mucosae, or submucosa
- T1a: Tumor invades lamina propria or muscularis mucosae
- T1b: Tumor invades submucosa
- T2: Tumor invades muscularis propria
- T3: Tumor invades adventitia
- T4: Tumor invades adjacent structures
- T4a: Resectable tumor invading pleura, pericardium, or diaphragm
- T4b: Unresectable tumor invading other adjacent structures, such as aorta, vertebral body, trachea, etc.
Regional Lymph Nodes (N)
- NX: Regional lymph nodes cannot be assessed
- N0: No regional lymph node metastasis
- N1: Metastases in 1–2 regional lymph nodes
- N2: Metastases in 3–6 regional lymph nodes
- N3: Metastases in ≥7 regional lymph nodes
Distant Metastasis (M)
- M0: No distant metastasis
- M1: Distant metastasis
American Joint Committee on Cancer stage groupings
Squamous cell carcinoma
Stage | T | N | M | Grade | Tumor Location |
0 | Tis | N0 | M0 | 1, X | Any |
IA | T1 | N0 | M0 | 1, X | Any |
IB | T1 | N0 | M0 | 2–3 | Any |
T2–3 | N0 | M0 | 1, X | Lower, X | |
IIA | T2–3 | N0 | M0 | 1, X | Upper, middle |
T2–3 | N0 | M0 | 2–3 | Lower, X | |
IIB | T2–3 | N0 | M0 | 2–3 | Upper, middle |
T1–2 | N1 | M0 | Any | Any | |
IIIA | T1–2 | N2 | M0 | Any | Any |
T3 | N1 | M0 | Any | Any | |
T4a | N0 | M0 | Any | Any | |
IIIB | T3 | N2 | M0 | Any | Any |
IIIC | T4a | N1–2 | M0 | Any | Any |
T4b | Any | M0 | Any | Any | |
Any | N3 | M0 | Any | Any | |
IV | Any | Any | M1 | Any | Any |
Adenocarcinoma
Stage | T | N | M | Grade |
0 | Tis | N0 | M0 | 1, X |
IA | T1 | N0 | M0 | 1–2, X |
IB | T1 | N0 | M0 | 3 |
T2 | N0 | M0 | 1–2, X | |
IIA | T2 | N0 | M0 | 3 |
IIB | T3 | N0 | M0 | Any |
T1–2 | N1 | M0 | Any | |
IIIA | T1–2 | N2 | M0 | Any |
T3 | N1 | M0 | Any | |
T4a | N0 | M0 | Any | |
IIIB | T3 | N2 | M0 | Any |
IIIC | T4a | N1–2 | M0 | Any |
T4b | Any | M0 | Any | |
Any | N3 | M0 | Any | |
IV | Any | Any | M1 | Any |