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Eyelid neoplasms TNM staging AJCC UICC 8th edition

Eyelid neoplasms TNM staging AJCC UICC 8th edition
Primary tumor (T)
T category T criteria
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
Tis Carcinoma in situ
T1 Tumor ≤10 mm in greatest dimension
T1a Tumor does not invade the tarsal plate or eyelid margin
T1b Tumor invades the tarsal plate or eyelid margin
T1c Tumor involves full thickness of the eyelid
T2 Tumor >10 mm but ≤20 mm in greatest dimension
T2a Tumor does not invade the tarsal plate or eyelid margin
T2b Tumor invades the tarsal plate or eyelid margin
T2c Tumor involves full thickness of the eyelid
T3 Tumor >20 mm but ≤30 mm in greatest dimension
T3a Tumor does not invade the tarsal plate or eyelid margin
T3b Tumor invades the tarsal plate or eyelid margin
T3c Tumor involves full thickness of the eyelid
T4 Any eyelid tumor that invades adjacent ocular, orbital, or facial structures
T4a Tumor invades ocular or intraorbital structures
T4b Tumor invades (or erodes through) the bony walls of the orbit or extends to the paranasal sinuses or invades the lacrimal sac/nasolacrimal duct or brain
Regional lymph nodes (N)
N category N criteria
NX Regional lymph nodes cannot be assessed
N0 No evidence of lymph node involvement
N1 Metastasis in a single ipsilateral regional lymph node, ≤3 cm in greatest dimension
N1a Metastasis in a single ipsilateral lymph node based on clinical evaluation or imaging findings
N1b Metastasis in a single ipsilateral lymph node based on lymph node biopsy
N2 Metastasis in a single ipsilateral lymph node, >3 cm in greatest dimension, or in bilateral or contralateral lymph nodes
N2a Metastasis documented based on clinical evaluation or imaging findings
N2b Metastasis documented based on microscopic findings on lymph node biopsy
Distant metastasis (M)
M category M criteria
M0 No distant metastasis
M1 Distant metastasis
Prognostic stage groups
When T is... And N is... And M is... Then the stage group is...
Tis N0 M0 0
T1 N0 M0 IA
T2a N0 M0 IB
T2b-c, T3 N0 M0 IIA
T4 N0 M0 IIB
Any T N1 M0 IIIA
Any T N2 M0 IIIB
Any T Any N M1 IV
TNM: tumor, node, metastasis; AJCC: American Joint Committee on Cancer; UICC: Union for International Cancer Control.
Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing. Corrected at 4th printing, 2018.
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