CORTEX TUMOURS (ICD‐O‐3 C74.0)



ADRENAL CORTEX TUMOURS (ICD‐O‐3 C74.0)


Rules for Classification


This classification applies only to carcinomas of the adrenal cortex. It does not apply to tumours of the adrenal medulla or sarcomas.


Regional Lymph Nodes


The regional lymph nodes are the hilar, abdominal para‐aortic, and paracaval nodes. Laterality does not affect the N categories.


TNM Clinical Classification


T – Primary Tumour





















TX Primary tumour cannot be assessed
T0 No evidence of primary tumour
T1 Tumour 5 cm or less in greatest dimension, no extra‐adrenal invasion (Fig. 546)
T2 Tumour greater than 5 cm, no extra‐adrenal invasion (Fig. 547)
T3 Tumour of any size with local invasion, but not invading adjacent organs* (Fig. 548)
T4 Tumour of any size with invasion of adjacent organs* (Fig. 549)

Note


* Adjacent organs include kidney, diaphragm, great vessels (renal vein or vena cava), pancreas, and liver.

Schematic illustration of tumour 5 cm or less in greatest dimension, no extra-adrenal invasion.

Fig. 546

Schematic illustration of tumour greater than 5 cm, no extra-adrenal invasion.

Fig. 547

Schematic illustration of tumour of any size with local invasion, but not invading adjacent organs.

Fig. 548

Schematic illustration of tumour of any size with invasion of adjacent organs.

Fig. 549


N – Regional Lymph Nodes












NX Regional lymph nodes cannot be assessed
N0 No regional lymph node metastasis
N1 Metastasis in regional lymph node(s)

M – Distant Metastasis









M0 No distant metastasis
M1 Distant metastasis

pTNM Pathological Classification


The pT, pN, and pM categories correspond to the T, N, and M categories.






pM1 Distant metastasis microscopically confirmed

Note
pM0 and pMX are not valid categories.


Summary

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Dec 15, 2022 | Posted by in ONCOLOGY | Comments Off on CORTEX TUMOURS (ICD‐O‐3 C74.0)

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