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C LINICAL
Extent of disease before
any treatment
y clinical staging completed
after neoadjuvant therapy but
before subsequent surgery
TNM
CATEGORY
T UMOR S IZE :
FIGO
STAGE
TX
T0
Tis
T1
T1a
*
I
IA
T1b
T2
IB
II
T3a
T3b
IIIA
IIIB
T4
IVA
PATHOLOGIC
Extent of disease through
completion of definitive surgery
bilateral
TNM
CATEGORY
FIGO
STAGE
TX
T0
Tis
T1
T1a
*
I
IA
T1b
T2
IB
II
T3a
T3b
IIIA
IIIB
T4
IVA
FIGO
STAGE
IIIC1
IIIC2
FIGO
STAGE
IVB
TNM
CATEGORY
FIGO
STAGE
NX
N0
N1
N2
IIIC1
IIIC2
TNM
CATEGORY
FIGO
STAGE
M1
IVB
36-1
T
Tis
T1
T1a
T1b
T2
T3
T3a
T3b
T1-T3
T1-T3
T4
Any T
N
N0
N0
N0
N0
N0
N0
N0
N0
N1
N2
Any N
Any N
P ATHOLOGIC
M
M0
M0
M0
M0
M0
M0
M0
M0
M0
M0
M0
M1
GROUP
0*
I
IA
IB
II
III
IIIA
IIIB
IIIC1
IIIC2
IVA
IVB
T
Tis
T1
T1a
T1b
T2
T3
T3a
T3b
T1-T3
T1-T3
T4
Any T
N
N0
N0
N0
N0
N0
N0
N0
N0
N1
N2
Any N
Any N
Stage unknown
Stage unknown
General Notes:
For identification of special cases of
TNM or pTNM classifications, the "m"
suffix and "y," "r," and "a" prefixes are
used. Although they do not affect the
stage grouping, they indicate cases
needing separate analysis.
Grade
Grade I or 1
Grade II or 2
4 grade system
Grade III or 3
Grade IV or 4
M
M0
M0
M0
M0
M0
M0
M0
M0
M0
M0
M0
M1
36-2
A DDITIONAL D ESCRIPTORS
Lymphatic Vessel Invasion (L) and Venous Invasion (V) have been combined into Lymph-Vascular
Invasion (LVI) for collection by cancer registrars. The College of American Pathologists (CAP) Checklist
should be used as the primary source. Other sources may be used in the absence of a Checklist. Priority
is given to positive results.
Lymph-Vascular Invasion Not Present (absent)/Not Identified
Lymph-Vascular Invasion Present/Identified
Not Applicable
Unknown/Indeterminate
Physician signature
NCCN
Other (describe):
Date/Time
36-3
Illustration
Indicate on diagram primary
tumor and regional nodes
involved.
36-4
C LINICAL
Extent of disease before
any treatment
y clinical staging completed
after neoadjuvant therapy but
before subsequent surgery
TNM
CATEGORY
P ATHOLOGIC
Extent of disease through
completion of definitive surgery
T UMOR S IZE :
FIGO
STAGE
bilateral
TNM
CATEGORY
FIGO
STAGE
I
IA
IB
II
IIA
IIB
III*
IIIA
IIIB
IVA
TX
T0
T1
T1a
T1b
T2
T2a
T2b
T3
T3a
T3b
T4
I
IA
IB
II
IIA
IIB
III*
IIIA
IIIB
IVA
TX
T0
T1
T1a
T1b
T1c
T2
T2a
T2b
T3
T3a
T3b
I
IA
IB
IC
II
IIA
IIB
III*
IIIA
IIIB
T4
IVA
Adenosarcoma
TX
T0
T1
T1a
T1b
T1c
T2
T2a
T2b
T3
T3a
T3b
T4
I
IA
IB
IC
II
IIA
IIB
III*
IIIA
IIIB
IVA
* In this stage, lesions must infiltrate abdominal tissues and not just protrude into
the abdominal cavity.
TNM
CATEGORY
NX
N0
N1
FIGO
STAGE
IIIC
NX
N0
N1
TNM
CATEGORY
FIGO
STAGE
IIIC
36-5
TNM
CATEGORY
M0
M1
FIGO
STAGE
TNM
CATEGORY
FIGO
STAGE
No distant metastasis (no pathologic M0; use clinical M to complete stage group)
IVB
M1
IVB
T
T1
T1a
T1b
T1c
T2
T3a
T3b
T1-3
T4
Any T
N
N0
N0
N0
N0
N0
N0
N0
N1
Any N
Any N
P ATHOLOGIC
M
M0
M0
M0
M0
M0
M0
M0
M0
M0
M1
GROUP
I
IA*
IB*
IC**
II
IIIA
IIIB
IIIC
IVA
IVB
T
T1
T1a
T1b
T1c
T2
T3a
T3b
T1-3
T4
Any T
N
N0
N0
N0
N0
N0
N0
N0
N1
Any N
Any N
Grade
Grade I or 1
Grade II or 2
4 grade system
Grade III or 3
Grade IV or 4
M
M0
M0
M0
M0
M0
M0
M0
M0
M0
M1
36-6
A DDITIONAL D ESCRIPTORS
Lymphatic Vessel Invasion (L) and Venous Invasion (V) have been combined into Lymph-Vascular
Invasion (LVI) for collection by cancer registrars. The College of American Pathologists (CAP) Checklist
should be used as the primary source. Other sources may be used in the absence of a Checklist. Priority
is given to positive results.
Physician signature
Date/Time
36-7
Illustration
Indicate on diagram primary
tumor and regional nodes
involved.
36-8