TNM, Staging bladder, prostate, kidney, testicle – Flashcards
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pTa Bladder tumor
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noninvasive papillary carcinoma
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pT1 bladder tumor
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tumor invades subepithelial connective tissue
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pT2 bladder tumor
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tumor invades muscular propria
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pT3a bladder tumor
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tumor invades perivesical tissue microscopically
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pT3b bladder tumor
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tumor invvades perivesical tissue macroscopically
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pT4a bladder tumor
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tumor invades prostatic stroma, uterus, vagina
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pT4b bladder tumor
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tumor invades pelvic wall
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N1 bladder cancer
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Single regional lymph node in true pelvis
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N2 bladder cancer
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Multiple regional lymph node in true pelvis
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N3 bladder cancer
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Lymph node metastasis to common iliac lymph nodes
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Stage 0a bladder cancer
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Ta
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Stage Ois bladder cancer
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Tis
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Stage I bladder cancer
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T1 N0 M0
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Stage II bladder cancer
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T2a-b N0 M0
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Stage III bladder cancer
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T3a, T3b, T4a
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Stage IV bladder cancer
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T4b Any N Any M
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cT1 prostate tumor
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clinically inapparent tumor neither palpable nor visible
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cT1a prostate tumor
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Tumor incidental histologic finding in 5% or less of tissue resected
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cT1b prostate tumor
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Tumor indicdental histologic finding in more than 5% of tissue resected
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cT1c prostate tumor
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tumor identified by needle biopsy
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cT2 prostate tumor
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tumor confined within prostate
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cT2a prostate tumor
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tumor involves one-half of one lobes or less
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cT2b prostate tumor
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tumor involves more than one half of one lobe but not both lobes
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cT2c prostate tumor
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tumor involves both lobes
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cT3 prostate tumor
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tumor extends through prostatic capsule
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cT3a prostate tumor
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extracapsular extension
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cT3b prostate tumor
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tumor invades the SV's
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cT4 prostate tumor
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tumor is fixed or invades adjacent structures other than SV's: bladder, levator muscles, and or pelvic wall
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pT2 prostate tumor
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organ confined
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pT2a prostate tumor
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unilateral, involving one-half of one side or less
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pT2b prostate tumor
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Unilateral involving more than one-half of one side but not both sides
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pT2c prostate tumor
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bilateral disease
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pT3 prostate tumor
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extraprostatic extension
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pT3a prostate tumor
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extraprostatic extension or microscopic invasion of the bladder neck
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pT3b prostate tumor
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seminal vesicle invasion
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pT4 prostate tumor
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invasion of bladder, rectum
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N1 prostate nodes
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metastasis in regional lymph nodes
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M1a prostate
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nonregional lymph node
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M1b prostate
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Bone
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M1c prostate
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other site with or without bone
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Stage I prostate cancer
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T1a-c N0 M0 PSA<10 Gleason<- 6 T2a N0 M0 PSA<10 Gleason<- 6
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Stage IIA prostate Cancer
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T1 disease with PSA 10-20 and Gleason 7 or less T2a-b disease with PSA <20 and Gleason 7 or less
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Stage IIB prostate cancer
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Any T2c Any T1-T2 with either PSA>20 or Gleason greater or equal to 8
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Stage III prostate cancer
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T3a-b
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Stage IV prostate cancer
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T4 T anything with either N1 or M1
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pT1 testicular cancer
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tumor limited to the testis and epididymis without vascular/lymphatic invasion
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pT2 testicular cancer
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tumor limited to the testis and epididymis with vascular/lymphatic invasion, or tumor extending though the tunic albuginea with involvement of the tun vag
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pT3 testicular cancer
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tumor invades the spermatic cord with or without vascular/lymphatic invasion
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pT4 testicular cancer
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tumor invades the scrotum with or without vascular/lymphatic invasion
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N1 testicular cancer
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metastasis with a lymph node 2 cm or less; or multiple lymph nodes, none more than 2 cm in dimension
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N2 testicular cancer
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metastasis with a lymph node greater than 2 cm but not more than 5
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N3 testicular cancer
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metastasis with a lymph node more than 5 cm
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M1 testicular cancer
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distant met
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M1a testicular cancer
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nonregional noal or pulmonary met
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M1b testicular cancer
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dist met other than nonregional node or lung
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SX testicular
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markers not available or performed
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S1 testicular cx
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LDH <1.5 x N and HCG <5000 and AFP <1000
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S2 testicular cx
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LDH 1.5-10 x N or hCG 5,000-50000 or AFP 1000-10,000
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S3 testicular cx
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LDH >10 x N or hCG >50k or AFP >10k
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Stage I testicular cancer
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T1-4 with N0,M0,SX
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Stage Ia testicular cx
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pT1 N0 M0 S0
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Stage Ib testicular cx
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pT2-4 N0 M0 S0
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Stage IS testicular cx
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Any pT N0 M0 S1-3
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Stage II testicular cx
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Any pT N1-3 M0 SX
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Stage IIA testicular cx
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Any pT N1 M0 S0-1
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Stage IIB testicular cx
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Any pT N2 M0 S0-1
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Stage IIC testicular cx
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Any pT N3 M0 S0-1
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Stage III testicular cx
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Any pT any N M1 SX
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Stage IIIA testicular cx
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Any pT any N M1a S0-1
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Stage IIIB testicular cx
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Any pT N1-3 M0 S2 Any pT Any N M1a S2
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Stage IIIc testicular cx
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Any pT N1-3 M0 S3 Any pT Any N M1a S3 Any pT Any N M1b Any S
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T1 Kidney cancer
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TUmor 7 cm or less, limited to kidney
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T1a kidney cancer
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Tumor 4 cm or less, limited to kidney
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T1b kidney cancer
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Tumor more than 4 cm but not more than 7 cm, limited to kidney
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T2 kidney cancer
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tumor more than 7 cm in greatest dimension, limited to kidney
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T2a kidney cancer
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Tumor more than 7 but less than 10 cm, limited to kidney
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T2b kidney cancer
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Tumor more than 10 cm, limited to kidney
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T3 kidney cancer
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tumor extends into major veins or perinephric tissues but not into the ipsilateral adrenal gland and not beyond gerota's fascia
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T3a kidney cancer
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Tumor grossly extends into the renal vein or its segmental branches, or tumor invades perirenal and/or renal sinus fat but not beyond gerota's
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T3b kidney cancer
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Tumor grossly extends into the vena cava below the diaphragm
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T3c kidney cancer
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Tumor extends into the vena cava above he diaphragm
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T4 kidney cancer
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Tumor invades beyond Gerota's fascia (including contiguous extension into the ipsilateral adrenal gland)
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N1 kidney cancer
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metastasis in regional lymph nodes
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M1 kidney cancer
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distant metastasis
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Stage I kidney cancer
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T1 N0 M0
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Stage II kidney cancer
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T2 N0 M0
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Stage III kidney cancer
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T1-2 N1 M0 T3 N0-1 M0
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Stage IV kidney cancer
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T4 Any N M0 Any T Any N M1
