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Intrahepatic bile duct cancer TNM staging AJCC UICC 8th edition

Intrahepatic bile duct cancer 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 (intraductal tumor)
T1 Solitary tumor without vascular invasion, ≤5 cm or >5 cm
T1a Solitary tumor ≤5 cm without vascular invasion
T1b Solitary tumor >5 cm without vascular invasion
T2 Solitary tumor with intrahepatic vascular invasion or multiple tumors, with or without vascular invasion
T3 Tumor perforating the visceral peritoneum
T4 Tumor involving local extrahepatic structures by direct invasion
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 present
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 0
T1a N0 M0 IA
T1b N0 M0 IB
T2 N0 M0 II
T3 N0 M0 IIIA
T4 N0 M0 IIIB
Any T N1 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.
Graphic 110945 Version 8.0

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