Version May 2024
| Primary tumor (T) | |||
| T category | T criteria | ||
| TX | Primary tumor cannot be assessed | ||
| T0 | No evidence of primary tumor | ||
| Tis | Carcinoma in situ (penile intraepithelial neoplasia [PeIN]) | ||
| Ta | Noninvasive localized squamous cell carcinoma | ||
| T1 | Glans: Tumor invades lamina propria. Foreskin: Tumor invades dermis, lamina propria, or dartos fascia. Shaft: Tumor invades connective tissue between epidermis and corpora regardless of location. All sites with or without lymphovascular invasion or perineural invasion and is or is not high grade. | ||
| T1a | Tumor is without lymphovascular invasion or perineural invasion and is not high grade (ie, grade 3 or sarcomatoid) | ||
| T1b | Tumor exhibits lymphovascular invasion and/or perinerual invasion or is high grade (ie, grade 3 or sarcomatoid) | ||
| T2 | Tumor invades into corpus spongiosum (either glans or ventral shaft) with or without urethral invasion | ||
| T3 | Tumor invades into corpora cavernosum (including tunica albuginea) with or without urethral invasion | ||
| T4 | Tumor invades into adjacent structures (ie, scrotum, prostate, pubic bone) | ||
| Regional lymph nodes (N) | |||
| Clinical N (cN) | |||
| cN category | cN criteria | ||
| cNX | Regional lymph nodes cannot be assessed | ||
| cN0 | No palpable or visibly enlarged inguinal lymph nodes | ||
| cN1 | Palpable mobile unilateral inguinal lymph node | ||
| cN2 | Palpable mobile ≥2 unilateral inguinal nodes or bilateral inguinal lymph nodes | ||
| cN3 | Palpable fixed inguinal nodal mass or pelvic lymphadenopathy unilateral or bilateral | ||
| Pathological N (pN) | |||
| pN category | pN criteria | ||
| pNX | Lymph node metastasis cannot be established | ||
| pN0 | No lymph node metastasis | ||
| pN1 | ≤2 unilateral inguinal metastases, no ENE | ||
| pN2 | ≥3 unilateral inguinal metastases or bilateral metastases, no ENE | ||
| pN3 | ENE of lymph node metastases or pelvic lymph node metastases | ||
| Distant metastasis (M) | |||
| M category | M criteria | ||
| M0 | No distant metastasis | ||
| M1 | Distant metastasis present | ||
| Prognostic stage groups | |||
| When T is... | And N is... | And M is... | Then the stage group is... |
| Tis | N0 | M0 | 0is |
| Ta | N0 | M0 | 0a |
| T1a | N0 | M0 | I |
| T1b | N0 | M0 | IIA |
| T2 | N0 | M0 | IIA |
| T3 | N0 | M0 | IIB |
| T1-3 | N1 | M0 | IIIA |
| T1-3 | N2 | M0 | IIIB |
| T4 | Any N | M0 | IV |
| Any T | N3 | M0 | IV |
| Any T | Any N | M1 | IV |
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