Anal cancer staging
Anal cancer Microchapters |
Diagnosis |
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Treatment |
Anal cancer staging On the Web |
American Roentgen Ray Society Images of Anal cancer staging |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]
Overview
Staging of anal cancer
Primary Tumor
Staging according to tumor size (T):
TX | Primary tumor cannot be assessed |
T0 | No evidence of primary tumor. |
Tis | Carcinoma in situ (i.e., Bowen disease, high-grade squamous intraepithelial lesion, and anal intraepithelial neoplasia II–III.) |
T1 | Tumor ≤2 cm in greatest dimension. |
T2 | Tumor >2 cm but ≤5 cm in greatest dimension. |
T3 | Tumor >5 cm in greatest dimension. |
T4 | Tumor of any size invades adjacent organ(s), e.g., vagina, urethra, and bladder. |
Staging according to regional lymph node (N):
NX | Regional lymph nodes cannot be assessed |
N0 | No regional lymph node metastasis. |
N1 | Metastases in perirectal lymph node(s). |
N2 | Metastases in unilateral internal iliac and/or inguinal lymph node(s). |
N3 | Metastases in perirectal and inguinal lymph nodes and/or bilateral internal iliac and/or inguinal lymph nodes. |
Staging according to distant metastasis (M):
M0 | No distant metastasis |
M1 | Distant metastasis. |
References