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Conjunctival melanoma TNM staging AJCC UICC 8th edition

Conjunctival melanoma TNM staging AJCC UICC 8th edition
Primary tumor (T)
Clinical tumor (cT)
cT category cT criteria
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
T1 Tumor of the bulbar conjunctiva
T1a <1 quadrant
T1b ≥1 to <2 quadrants
T1c ≥2 to <3 quadrants
T1d ≥3 quadrants
T2 Tumor of the nonbulbar (forniceal, palpebral, tarsal) conjunctiva, and tumor involving the caruncle
T2a Noncaruncular, and ≤1 quadrant of the nonbulbar conjunctiva involved
T2b Noncaruncular, and >1 quadrant of the nonbulbar conjunctiva involved
T2c Caruncular, and ≤1 quadrant of the nonbulbar conjunctiva involved
T2d Caruncular, and >1 quadrant of the nonbulbar conjunctiva involved
T3 Tumor of any size with local invasion
T3a Globe
T3b Eyelid
T3c Orbit
T3d Nasolacrimal duct and/or lacrimal sac and/or paranasal sinuses
T4 Tumor of any size with invasion of the central nervous system
Pathological tumor (pT)
pT category pT criteria
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
Tis Melanoma confined to the conjunctival epithelium
T1 Tumor of the bulbar conjunctiva
T1a Tumor of the bulbar conjunctiva with invasion of the substantia propria, not more than 2.0 mm in thickness
T1b Tumor of the bulbar conjunctiva with invasion of the substantia propria, more than 2.0 mm in thickness
T2 Tumor of the nonbulbar (forniceal, palpebral, tarsal) conjunctiva, and tumor involving the caruncle
T2a Tumor of the nonbulbar conjunctiva with invasion of the substantia propria, not more than 2.0 mm in thickness
T2b Tumor of the nonbulbar conjunctiva with invasion of the substantia propria, more than 2.0 mm in thickness
T3 Tumor of any size with local invasion
T3a Globe
T3b Eyelid
T3c Orbit
T3d Nasolacrimal duct and/or lacrimal sac and/or paranasal sinuses
T4 Tumor of any size with invasion of the central nervous system
Regional lymph nodes (N)
N category N criteria
NX Regional lymph nodes cannot be assessed
N0 No regional lymph node metastasis
N1 Regional lymph node metastasis
Distant metastasis (M)
M category M criteria
M0 No distant metastasis
M1 Distant metastasis
Prognostic stage groups
There is no proposal for anatomic stage and prognostic groups for conjunctival melanoma.
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.
Graphic 110764 Version 9.0

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