Version June 2024
| Primary tumor (T) | |||
| T category | T criteria | ||
| TX | Primary tumor cannot be assessed | ||
| T0 | No evidence of primary tumor | ||
| T1 | Tumor ≤5 cm in greatest dimension, no extra-adrenal invasion | ||
| T2 | Tumor >5 cm, no extra-adrenal invasion | ||
| T3 | Tumor of any size with local invasion but not invading adjacent organs | ||
| T4 | Tumor of any size that invades adjacent organs (kidney, diaphragm, pancreas, spleen, or liver) or large blood vessels (renal vein or vena cava) | ||
| Regional lymph nodes (N) | |||
| N category | N criteria | ||
| NX | Regional lymph nodes cannot be assessed | ||
| N0 | No regional lymph node metastasis | ||
| N1 | Metastasis in regional lymph node(s) | ||
| 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... |
| T1 | N0 | M0 | I |
| T2 | N0 | M0 | II |
| T1 | N1 | M0 | III |
| T2 | N1 | M0 | III |
| T3 | Any N | M0 | III |
| T4 | Any N | M0 | III |
| Any T | Any N | M1 | IV |
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