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What is TNM?. !. TNM is a system for classifying malignant tumours. It is a cancer staging system, which describes the extent of a person's cancer. !. Most types of cancer have TNM designations, but some do not 1. !. Most medical facilities use this system as their
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What is TNM? ! TNM is a system for classifying malignant tumours It is a cancer staging system, which describes the extent of a person's cancer ! Most types of cancer have TNM designations, but some do not1 ! Most medical facilities use this system as their main method for cancer reporting1 ! National Cancer Institute, Cancer Staging, 2010
How does the TNM system work? The 3 parameters of the TNM system1: T = extent of the tumour N = the extent of spread to the lymph nodes M = presence of distant metastases A number is added to each letter to indicate1: the size or extent of the primary tumour the extent of cancer spread National Cancer Institute, Cancer Staging, 2010
T = extent of primary tumour T is classified as follows:1 Tx: Primary tumour cannot be evaluated | T0: No evidence of primary tumour Tis: Carcinoma in situ (CIS)2 | T1, T2, T3, T4: Size and/or extent of the primary tumour T3 T0 T1 T2 organ local tissues • National Cancer Institute, Cancer Staging, 2010 • CIS – abnormal cells are present but have not spread to neighbouring tissue; although not cancer, CIS may become cancer and is sometimes called pre-invasive cancer
N =extent of spread to lymph nodes N is classified as follows1: Nx: Regional lymph nodes cannot be evaluated | N0: No local lymph node involvement N1: Tumour has spread to local lymph nodes| N2, N3: Involvement of local and distant lymph nodes (number of lymph nodes and/or extent of spread) N2 N0 N1 distant nodes local nodes National Cancer Institute, Cancer Staging, 2010
M =presence of distant metastases M is classified as follows1: Mx: Distant metastasis cannot be evaluated | M0: No distant metastasis M1: Distant metastasis is present M0 M1 Mx ? lung bone liver National Cancer Institute, Cancer Staging, 2010