Merkel cell cancer staging
Merkel cell cancer Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]
Overview
The staging of Merkel cell cancer is based on the TNM staging system.
Staging
- According to the TNM staging system, merkel cell cancer is classified into 4 stages based on the following:
- Tumor size
- Involvement of lymph nodes, and
- Metastasis
- The stages of Merkel cell carcinoma are shown in the table below:[1]
Stage | Primary Tumor (T) | Lymph Node (N) | Metastasis (M) |
0 | In situ |
|
|
IA | ≤2 cm |
|
|
IB | ≤2 cm |
|
|
IIA | >2 cm |
|
|
IIB | >2 cm |
|
|
IIC | Invades bone, muscle and cartilage |
|
|
IIIA | Any size tumor (includes invading tumors) |
|
|
IIIB | Any size tumor (includes invading tumors) | Postive for:
|
|
IV | Any size tumor (includes invading tumors) |
|
|
References
- ↑ Harms KL, Healy MA, Nghiem P, Sober AJ, Johnson TM, Bichakjian CK, Wong SL (October 2016). "Analysis of Prognostic Factors from 9387 Merkel Cell Carcinoma Cases Forms the Basis for the New 8th Edition AJCC Staging System". Ann. Surg. Oncol. 23 (11): 3564–3571. doi:10.1245/s10434-016-5266-4. PMID 27198511.