Acinic cell carcinoma classification: Difference between revisions
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==Classification== | ==Classification== | ||
According to the8th eddition of American Joint Committee on Cancer(AJCC) and Union for International Cancer Control (UICC)the staging of salivary gland neoplasms are staged by [[TNM system]].<ref name="SonPanwar2018">{{cite journal|last1=Son|first1=Eugene|last2=Panwar|first2=Aru|last3=Mosher|first3=Charles H.|last4=Lydiatt|first4=Daniel|title=Cancers of the Major Salivary Gland|journal=Journal of Oncology Practice|volume=14|issue=2|year=2018|pages=99–108|issn=1554-7477|doi=10.1200/JOP.2017.026856}}</ref> This means acinic cell carcinoma is staged based on tumor, node, and metastasissimilar to squamous cell carcinoma. | |||
<br /> | |||
{| class="wikitable" | |||
!T category | |||
!N category | |||
!M category | |||
|- | |||
|TX: Primary tumor cannot be assessed | |||
|NX: Regional lymph nodes cannot be assessed | |||
|M0: No distant metastasis | |||
|- | |||
|T0: No evidence of primary tumor | |||
|N0: No regional lymph node metastasis | |||
|M1: Distant metastasis | |||
|- | |||
|Tis: Carcinoma ''in situ'' | |||
|N1: Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(–) | |||
| | |||
|- | |||
|T1: Tumor 2 cm or smaller in greatest dimension without extraparenchymal extension | |||
|N2:Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(+); '''or''' | |||
Larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–); '''or''' | |||
Metastases in multiple ipsilateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–); '''or''' | |||
In bilateral or contralateral lymph nodes, none larger than 6 cm in greatest dimension and ENE(–) | |||
| | |||
|- | |||
|T2: Tumor larger than 2 cm but not larger than 4 cm in greatest dimension without extraparenchymal extension | |||
''' | |N2a: Metastasis in single ipsilateral node 3 cm or smaller in greatest dimension and ENE(+); '''or''' | ||
A single ipsilateral node larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–) | |||
| | |||
|- | |||
|T3: Tumor larger than 4 cm and/or tumor having extraparenchymal extension | |||
|N2b: Metastases in multiple ipsilateral nodes, none larger than 6 cm in greatest dimension and ENE(–) | |||
| | |||
|- | |||
|T4a: Moderately advanced disease. | |||
Tumor invades skin, mandible, ear canal, and/or facial nerve. | |||
|N2c: Metastases in bilateral or contralateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–) | |||
| | |||
|- | |||
|T4b:Very advanced disease. | |||
Tumor invades skull base and/or pterygoid plates and/or encases carotid artery. | |||
|N3: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–); '''or''' | |||
In a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); '''or''' | |||
Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); '''or''' | |||
A single contralateral node of any size and ENE(+) | |||
| | |||
|- | |||
| | |||
|N3a: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–) | |||
| | |||
|- | |||
| | |||
|N3b: Metastasis in a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); '''or''' | |||
Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); '''or''' | |||
A single contralateral node of any size and ENE(+) | |||
| | |||
|} | |||
==References== | ==References== |
Revision as of 14:52, 4 September 2019
Acinic cell carcinoma Microchapters |
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Acinic cell carcinoma classification On the Web |
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Risk calculators and risk factors for Acinic cell carcinoma classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]
Overview
There is no established system for the classification of [disease name].
OR
[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].
OR
[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3]. [Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].
OR
Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
OR
If the staging system involves specific and characteristic findings and features: According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
OR
The staging of [malignancy name] is based on the [staging system].
OR
There is no established system for the staging of [malignancy name].
Classification
According to the8th eddition of American Joint Committee on Cancer(AJCC) and Union for International Cancer Control (UICC)the staging of salivary gland neoplasms are staged by TNM system.[1] This means acinic cell carcinoma is staged based on tumor, node, and metastasissimilar to squamous cell carcinoma.
T category | N category | M category |
---|---|---|
TX: Primary tumor cannot be assessed | NX: Regional lymph nodes cannot be assessed | M0: No distant metastasis |
T0: No evidence of primary tumor | N0: No regional lymph node metastasis | M1: Distant metastasis |
Tis: Carcinoma in situ | N1: Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(–) | |
T1: Tumor 2 cm or smaller in greatest dimension without extraparenchymal extension | N2:Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(+); or
Larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–); or Metastases in multiple ipsilateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–); or In bilateral or contralateral lymph nodes, none larger than 6 cm in greatest dimension and ENE(–) |
|
T2: Tumor larger than 2 cm but not larger than 4 cm in greatest dimension without extraparenchymal extension | N2a: Metastasis in single ipsilateral node 3 cm or smaller in greatest dimension and ENE(+); or
A single ipsilateral node larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(–) |
|
T3: Tumor larger than 4 cm and/or tumor having extraparenchymal extension | N2b: Metastases in multiple ipsilateral nodes, none larger than 6 cm in greatest dimension and ENE(–) | |
T4a: Moderately advanced disease.
Tumor invades skin, mandible, ear canal, and/or facial nerve. |
N2c: Metastases in bilateral or contralateral lymph node(s), none larger than 6 cm in greatest dimension and ENE(–) | |
T4b:Very advanced disease.
Tumor invades skull base and/or pterygoid plates and/or encases carotid artery. |
N3: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–); or
In a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); or Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); or A single contralateral node of any size and ENE(+) |
|
N3a: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(–) | ||
N3b: Metastasis in a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); or
Multiple ipsilateral, contralateral, or bilateral nodes any with ENE(+); or A single contralateral node of any size and ENE(+) |
References
- ↑ Son, Eugene; Panwar, Aru; Mosher, Charles H.; Lydiatt, Daniel (2018). "Cancers of the Major Salivary Gland". Journal of Oncology Practice. 14 (2): 99–108. doi:10.1200/JOP.2017.026856. ISSN 1554-7477.