of the Oesophagus


T – tumour

N – node

M – metastases

Tx

Primary tumour cannot be assessed

Nx

Regional lymph nodes cannot be assessed

M0

No distant metastasis

T0

No evidence of primary tumour

N0

No regional lymph node metastasis
  
Tis

Carcinoma in situ/high-grade dysplasia

N1

1–2 regional lymph nodes (N1 is site dependent)

M1

Distant metastasis

T1

Lamina propria or submucosa

N2

3–6 regional lymph nodes
  
T1a

Lamina propria or muscularis mucosae

N3

More than 6 regional lymph nodes
  
T1b

Submucosa
    
T2

Muscularis propria
    
T3

Adventitia
    
T4

Adjacent structures
    
T4a

Pleura, pericardium, diaphragm or adjacent peritoneum (resectable tumour)
    
T4b

Other adjacent structures (e.g. aorta, vertebral body, trachea) – unresectable tumour
    



Table 2
Clinical stage grouping/prognostic group



























































































































































 
Squamous cell carcinoma

Adenocarcinoma

Stage

T

N

M

Grade

Location

T

N

M

Grade

0

Tis (HGD)

N0

M0

1, X

Any

Tis (HGD)

N0

M0

1, X

IA

T1

N0

M0

1, X

Any

T1

N0

M0

1–2, X

1B

T1

N0

M0

2–3

Any

T1

N0

M0

3

T2-T3

N0

M0

1, X

Lower, X

T2

N0

M0

1–2

IIA

T2-3

N0

M0

1, X

Upper, middle

T2

N0

M0

3

T2-3

N0

M0

2–3

Lower, X





IIB

T2-3

N0

M0

2–3

Upper, middle

T3

N0

M0

Any

T1-2

N1

M0

Any

Any

T1-2

N1

M0

Any

IIIA

TI-2

N2

M0

Any

Any

T1-2

N2

M0

Any

T3

N1

M0

Any

Any

T3

N1

M0

Any

T4a

N0

M0

Any

Any

T4a

N0

M0

Any

IIIB

T3

N2

M0

Any

Any

T3

N2

M0

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Sep 20, 2016 | Posted by in HEMATOLOGY | Comments Off on of the Oesophagus

Full access? Get Clinical Tree

Get Clinical Tree app for offline access