Upper Aerodigestive Tract (Including Salivary Glands) Protocol applies to all invasive carcinomas of the upper aerodigestive tract including the oral cavity (including lip and tongue), pharynx


Pathologic Staging (pTNM) (see appropriate site below)



Download 266 Kb.
Page2/9
Date31.01.2017
Size266 Kb.
1   2   3   4   5   6   7   8   9

Pathologic Staging (pTNM) (see appropriate site below)



Note: The phrases in italics include clinical findings required for AJCC staging. This clinical information may be unknown to the pathologist. It is included here only for the sake of completeness.

Primary Tumor (pT): Lip and Oral Cavity


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor 2 cm or less in greatest dimension

___ pT2: Tumor more than 2 cm but not more than 4 cm in greatest dimension

___ pT3: Tumor more than 4 cm in greatest dimension

___ pT4: Lip: Tumor invades through cortical bone, inferior alveolar nerve, floor of mouth, or skin of face, ie, chin or nose

___ pT4a: Oral cavity: Tumor invades adjacent structures (eg, through cortical bone, into deep [extrinsic] muscle of tongue [genioglossus, hyoglossus, palatoglossus, and styloglossus], maxillary sinus, skin of face)

___ pT4b: Tumor invades masticator space, pterygoid plates, or skull base, and/or encases internal carotid artery

Primary Tumor (pT): Oropharynx


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor 2 cm or less in greatest dimension

___ pT2: Tumor more than 2 cm but not more than 4 cm in greatest dimension

___ pT3: Tumor more than 4 cm in greatest dimension

___ pT4a: Tumor invades larynx, deep/extrinsic muscle of tongue, medial pterygoid muscles, hard palate, or mandible

___ pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base, or encases carotid artery



Primary Tumor (pT): Hypopharynx


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor limited to 1 subsite of hypopharynx and 2 cm or less in greatest dimension

___ pT2: Tumor invades more than 1 subsite of hypopharynx or an adjacent site, or measures more than 2 cm but not more than 4 cm in greatest dimension without fixation of hemilarynx

___ pT3: Tumor measures more than 4 cm in greatest dimension or with fixation of hemilarynx

___ pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus, or central compartment soft tissue

___ pT4b: Tumor invades prevertebral fascia, encases carotid artery, or involves mediastinal structures


Primary Tumor (pT): Nasopharynx


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor confined to nasopharynx

___ pT2: Tumor extends to soft tissue

___ pT2a: Tumor extends to the oropharynx and/or nasal cavity without parapharyngeal extension

___ pT2b: Any tumor with parapharyngeal extension

___ pT3: Tumor invades bony structures and/or paranasal sinuses

___ pT4: Tumor with intracranial extension and/or involvement of cranial nerves, infratemporal fossa, hypopharynx, orbit, or masticator space

Primary Tumor (pT): Supraglottis


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor limited to 1 subsite of supraglottis with normal vocal cord mobility

___ pT2: Tumor invades mucosa of more than 1 adjacent subsite of supraglottis or glottis or region outside the supraglottis (eg, mucosa of base of tongue, vallecula, medial wall of pyriform sinus) without fixation of the larynx

___ pT3: Tumor limited to larynx with vocal cord fixation and/or invades any of the following: postcricoid area, pre-epiglottic tissues, paraglotic space, and/or minor thyroid cartilage erosion (eg, inner cortex)

___ pT4a: Tumor invades through thyroid cartilage and/or invades tissues beyond the larynx (eg, trachea, soft tissues of neck including deep extrinsic muscle of tongue, strap muscles, thyroid, or esophagus)

___ pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures



Primary Tumor (pT): Glottis


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor limited to the vocal cords (may involve anterior or posterior commissure) with normal mobility

___ pT1a: Tumor limited to 1 vocal cord

___ pT1b: Tumor involves both vocal cords

___ pT2: Tumor extends to supraglottis and/or subglottis and/or with impaired vocal cord mobility

___ pT3: Tumor limited to the larynx with vocal cord fixation and/or invades paraglottic space, and/or minor thyroid cartilage erosion (eg, inner cortex)

___ pT4a: Tumor invades through thyroid cartilage and/or invades tissues beyond the larynx (eg, trachea, soft tissues of neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus)

___ pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures


Primary Tumor (pT): Subglottis


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor limited to subglottis

___ pT2: Tumor extends to vocal cord(s) with normal or impaired mobility

___ pT3: Tumor limited to larynx with vocal cord fixation

___ pT4a: Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond the larynx (eg, trachea, soft tissues of neck including deep extrinsic muscles of the tongue, strap muscles, thyroid, or esophagus)

___pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures



Primary Tumor (pT): Maxillary Sinus


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor limited to the maxillary sinus mucosa with no erosion or destruction of bone

___ pT2: Tumor causing bone erosion or destruction including extention into the hard palate and/or middle nasal meatus, except extention to posterior wall of maxillary sinus and pterygoid plates

___ pT3: Tumor invades any of the following: bone of the posterior wall of maxillary sinus, subcutaneous tissues, floor or medial wall of orbit, pterygoid fossa, ethmoid sinuses

___ pT4a: Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses

___ pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than maxillary division of trigeminal nerve (V2), nasopharynx, or clivus



Primary Tumor (pT): Nasal Cavity and Ethmoid Sinus


___ pTX: Cannot be assessed

___ pT0: No evidence of primary tumor

___ pTis: Carcinoma in situ

___ pT1: Tumor restricted to any 1 subsite, with or without bony invasion

___ pT2: Tumor invading 2 subsites in a single region or extending to involve an adjacent region within the nasoethmoidal complex, with or without bony invasion

___ pT3: Tumor extends to invade the medial wall or floor of the orbit, maxillary sinus, palate, or cribriform plate

___ pT4a: Tumor invades any of the following: anterior orbital contents, skin of nose or cheek, minimal extension to anterior cranial fossa, pterygoid plates, sphenoid or frontal sinuses

___ pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than (V2), nasopharynx, or clivus


Regional Lymph Nodes (pN): All Aerodigestive Sites Except Nasopharynx


___ pNX: Cannot be assessed

___ pN0: No regional lymph node metastasis

___ pN1: Metastasis in a single ipsilateral lymph node, 3 cm or less in greatest dimension

___ pN2a: Metastasis in a single ipsilateral lymph node, more than 3 cm but not more than 6 cm in greatest dimension

___ pN2b: Metastasis in multiple ipsilateral lymph nodes, none more than 6 cm in greatest dimension

___ pN2c: Metastasis in bilateral or contralateral lymph nodes, none more than 6 cm in greatest dimension

___ pN3: Metastasis in a lymph node more than 6 cm in greatest dimension

Specify: Number examined: ___

Number involved: ___

Regional Lymph Nodes (pN): Nasopharynx


___ pNX: Cannot be assessed

___ pN0: No regional lymph node metastasis

___ pN1: Unilateral metastasis in lymph node(s), 6 cm or less in greatest dimension, above the supraclavicular fossa

___ pN2: Bilateral metastasis in lymph node(s), 6 cm or less in greatest dimension, above the supraclavicular fossa

___ pN3: Metastasis in a lymph node greater than 6 cm and/or to supraclavicular fossa

___ pN3a: Greater than 6 cm in dimension

___ pN3b: Extention to the supraclavicular fossa

Specify: Number examined: ___

Number involved: ___




Share with your friends:
1   2   3   4   5   6   7   8   9


The database is protected by copyright ©dentisty.org 2019
send message

    Main page