TNM H&N

Card Set Information

Author:
Kianoosh
ID:
116182
Filename:
TNM H&N
Updated:
2012-03-08 10:30:43
Tags:
TNM cancer staging head neck
Folders:

Description:
TNM staging for head and neck cancers
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Kianoosh on FreezingBlue Flashcards. What would you like to do?


  1. TNM supraglottis
    • T1
    • Tumor limited to one subsite of supraglottis with normal vocal cord mobility

    • T2
    • Tumor invades mucosa of more than one adjacent subsite of supraglottis or glottis or region outside the supraglottis (e.g., mucosa of base of tongue, vallecula, medial wall of pyriform sinus) without fixation of the
    • larynx

    • T3
    • Tumor limited to larynx with vocal cord fixation and/or invades any of the following: postcricoid area, pre-epiglottic tissues, paraglottic space, and/or minor thyroid cartilage erosion (e.g., inner cortex)

    • T4a
    • Tumor invades through the thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of neck including deep extrinsic muscles of the tongue, strap muscles, thyroid, or esophagus)

    • T4b
    • Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures
  2. TNM glottis
    • T1
    • Tumor limited to the vocal cord(s) (may involve anterior or posterior commissure) with normal mobility

    • T1a
    • Tumor limited to one vocal cord

    • T1b
    • Tumor involves both vocal cords

    • T2
    • Tumor extends to supraglottis and/or subglottis, or with impaired vocal cord mobility

    • T3
    • Tumor limited to the larynx with vocal cord fixation, and/or invades paraglottic space, and/or minor thyroid cartilage erosion (e.g., inner cortex)

    • T4a
    • Tumor invades through the thyroid cartilage and/or invades tissues beyond the larynx, (e.g., trachea, soft tissues of neck including deep extrinsic muscles of the tongue, strap muscles, thyroid, or esophagus)

    • T4b
    • Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures
  3. TNM subglottis
    • T1
    • Tumor limited to the subglottis

    • T2
    • Tumor extends to vocal cord(s) with normal or impaired
    • mobility

    • T3
    • Tumor limited to larynx with vocal cord fixation

    • T4a
    • Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond larynx (e.g., trachea, soft tissues of neck including deep extrinsic muscles of the tongue, strap muscles, thyroid, or esophagus)

    • T4b
    • Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures
  4. Regional lymph node (N)
    • NX
    • Regional lymph nodes cannot be assessed

    • N0
    • No regional lymph node metastasis

    • N1
    • Metastasis in a single ipsilateral lymph node, ≤3 cm in greatest dimension

    • N2
    • Metastasis in a single ipsilateral lymph node, >3 cm but not >6 cm in greatest dimension, or in multiple ipsilateral lymph nodes, none >6 cm in greatest dimension, or in bilateral or contralateral lymph nodes, none >6 cm in greatest dimension

    • N2a
    • Metastasis in a single ipsilateral lymph node, >3 cm but not >6 cm in greatest dimension

    • N2b
    • Metastasis in multiple ipsilateral lymph nodes, none >6 cm in greatest dimension

    • N2c
    • Metastasis in bilateral or contralateral lymph nodes, none >6 cm in greatest dimension

    • N3
    • Metastasis in a lymph node, >6 cm in greatest dimension
  5. TNM Thyroid Ca
    • TX
    • Primary tumor cannot be assessed

    • T0
    • No evidence of primary tumor

    • T1
    • Tumor = 2 cm in greatest dimension, limited to thyroid

    • T2
    • Tumor >2 cm and = 4 cm in greatest dimension, limited to thyroid

    • T3
    • Tumor >4 cm in greatest dimension, limited to the thyroid or Any tumor with minimal extrathyroid extension (e.g., extension to sternothyroid muscle or perithyroid soft tissues)

    • T4a
    • Tumor of any size extending beyond the thyroid capsule to invade subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve

    • T4b
    • Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels
  6. TNM anaplastic thyroid Ca
    • T4a
    • Intrathyroidal anaplastic carcinoma—surgically
    • resectable

    • T4b
    • Extrathyroidal anaplastic carcinoma—surgically unresectable
  7. Regional lymph node (N) in thyroid Ca
    • NX
    • Regional lymph nodes cannot be assessed

    • N0
    • No regional lymph node metastasis

    • N1
    • Regional lymph node metastasis

    • N1a
    • Metastasis to level VI (pretracheal, paratracheal, and
    • prelaryngeal/Delphian lymph nodes)

    • N1b
    • Metastasis to unilateral, bilateral, or contralateral cervical or superior mediastinal lymph nodes
  8. TNM hypopharynx
    • TX
    • Primary tumor cannot be assessed

    • T0
    • No evidence of primary tumor

    • T1
    • Tumor limited to one subsite of hypopharynx and ≤ 2 cm in greatest dimension

    • T2
    • Tumor invades more than one subsite of hypopharynx or an adjacent site, or measures > 2 cm but not > 4 cm in greatest dimension without fixation of hemilarynx

    • T3
    • Tumor > 4 cm in greatest dimension or with fixation of
    • hemilarynx

    • T4a
    • Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus, or central compartment soft tissue (including prelaryngeal strap muscles and subcutaneous fat)

    • T4b
    • Tumor invades prevertebral fascia, encases carotid artery, or involves mediastinal structures
  9. TNM cervical esophagus
    • TX
    • Primary tumor cannot be assessed

    • T0
    • No evidence of primary tumor

    • Tis
    • Carcinoma in situ

    • T1
    • Tumor invades lamina propria or submucosa

    • T2
    • Tumor invades muscularis propria

    • T3
    • Tumor invades adventitia

    • T4
    • Tumor invades adjacent structures
  10. Regional lymph node (N) in cervical esophagus
    • NX
    • Regional lymph nodes cannot be assessed

    • N1
    • No regional lymph node metastasis

    • N2
    • Regional lymph node metastasis
  11. TNM oral cavity
    • TX
    • Unable to assess primary tumor
  12. T0
    No evidence of primary tumor
  13. Tis
    Carcinoma in situ
  14. T1
    Tumor <2 cm in greatest dimension
  15. T2
    Tumor >2 cm and <4 cm in greatest dimension
  16. T3
    Tumor >4 cm in greatest dimension
  17. T4 (lip)
    Primary tumor invading cortical bone, inferior alveolar nerve, floor of mouth, or skin of face (e.g., nose, chin)
  18. T4a (oral)
    Tumor invades adjacent structures (e.g., cortical bone, into deep tongue musculature, maxillary sinus) or skin of face
  19. T4b (oral)
    Tumor invades masticator space, pterygoid plates, or skull base or encases the internal carotid artery
  20. Chandler's Staging of JNA
    Stage 1 Tumor confined to nasopharynx

    Stage 2 Tumor extends into nasal cavity or sphenoid

    Stage 3 Tumor involves the maxillary, ethmoids, infratemporal fossa, orbit, cheek, and cavernous sinus

    Stage 4 Tumor is intracranial
  21. TNM Maxillary sinus Ca
    • TX:
    • Primary tumor cannot be assessed

    • T0:
    • No evidence of primary tumor

    • Tis:
    • Carcinoma in situ

    • T1:
    • Tumor limited to maxillary sinus mucosa with no erosion or destruction of bone

    • T2:
    • Tumor causing bone erosion or destruction including extension into the hard palate and/or the middle of the nasal meatus, except extension to the posterior wall of maxillary sinus and pterygoid plates

    • T3:
    • 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

    • T4a:
    • Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses

    • T4b:
    • 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
  22. TNM Ethmoid sinus and nasal cavity Ca
    • TX:
    • Primary tumor cannot be assessed

    • T0:
    • No evidence of primary tumor

    • Tis:
    • Carcinoma in situ

    • T1:
    • Tumor restricted to any one subsite, with or without bony invasion

    • T2:
    • Tumor invading 2 subsites in a single region or extending to involve an adjacent region within the nasoethmoidal complex, with or without bony invasion

    • T3:
    • Tumor extends to invade the medial wall or floor of the orbit, maxillary sinus, palate, or cribriform plate

    • T4a:
    • 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

    • T4b:
    • Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than (V2), nasopharynx, or clivus
  23. TNM Major salivary gland Ca
    • Tx
    • Primary tumor cannot be assessed

    • T0
    • No evidence of primary tumor

    • T1
    • Tumor is ≤2 cm in greatest dimension without extraparenchymal extension

    • T2
    • Tumor is >2 cm but not >4 cm in greatest dimension without extraparenchymal extension

    • T3
    • Tumor is >4 cm in greatest dimension and/or has
    • extraparenchymal extension

    • T4a
    • Tumor invades skin, mandible, ear canal, and/or facial
    • nerve

    • T4b
    • Tumor invades skull base and/or pterygoid plates and/or encases carotid artery
  24. TNM NPC?
    • T1
    • Limited to nasal cavity, nasopharynx, oropharynx

    • T2
    • Extension to parapharyngeal space

    • T3
    • Bony erosion in base of skull and paransal sinuses

    • T4
    • Extension to orbit, intracranial, masticator, hypopharynx
  25. Regional lymph node (N) in NPC
    • N0
    • no nodes

    • N1
    • Single ipsilateral <6cm

    • N2
    • Multiple, Bilateral or contraleral <6cm

    • N3a
    • >6cm above supraclavicular fossa

    • N3b
    • In supraclavicular fossa
  26. Fisch classification of JNA
    I: limited to nasopharynx, nasal cavity

    II: invading ptrygomaxillary fossa , paransal sinuses with bony destruction

    III: Invading infratemporal fossa, orbit and parasellar region, lateral to cavernous sinus

    IV: Invading to cavernous sinus, optic chiasma, pituitary fossa

What would you like to do?

Home > Flashcards > Print Preview