tumor paru-staging

8
TNM SYSTEM VERSION 7 NON-SMALL CELL LUNG CANCER N E W

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New Staging Lung Tumor

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Page 1: Tumor Paru-Staging

TNM SYSTEM VERSION 7 NON-SMALL CELL LUNG CANCERN

EW

Page 2: Tumor Paru-Staging

STAGING OF NON-SMALL CELL LUNG CANCERNEW

Page 3: Tumor Paru-Staging

STAGING OF NON-SMALL CELL LUNG CANCERNEW

T and M N0 N1 N2 N3

STAGE STAGE STAGE STAGE

T1(<=2cm) T1a IA IIA IIIA IIIB

T1(>2-3cm) T1b IA IIA IIIA IIIB

T2(<=5cm) T2b IB IB IIIA IIIB

T2(>5-7cm) T2b IB IIB IIIA IIIB

T2(>7cm)

T3

IB IIB IIIA IIIB

T3 invasion IIB IIIA IIIA IIIB

T4 (same lobe nodules) IIB IIIA IIIA IIIB

T4 (extension)

T4

IIIA IIIA IIIB IIIB

M1 (ipsilateral lung) IIIA IIIA IIIB IIIB

T4 (pleural effusion)

M1a

IV IV IV IV

M1 (contra lateral lung) IV IV IV IV

M1 (distant) M1b IV IV IV IV

Page 4: Tumor Paru-Staging

MIDIASTINAL LYMPH NODES STATUS CT-SCAN THORAX

ADENO carcinomaMediastinal Lymph node

Size < 1 cm or > 1 cm

SQUAMOUS cell caMediastinal Lymph node

Size < 1 cm or > 1 cm

Page 5: Tumor Paru-Staging

AJCC / UICC TNM Staging for Lung Cancer 7th Edition (2010)

Page 6: Tumor Paru-Staging

AJCC/UICC TNM Lung Cancer Staging - 7th Edition (2010)

Tumour Size T1 <3cm T2 >3cmSeparate tumour nodules in same lobe (T4) and different non-primary lobe (M1))

Page 7: Tumor Paru-Staging

AJCC/UICC TNM Lung Cancer Staging - 7th Edition (2010)

Pleural effusion – T4 M1a

Page 8: Tumor Paru-Staging

AJCC/UICC TNM Lung Cancer Staging - 7th Edition (2010)