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    송란다
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    This document compares the 7th and 8th edition UICC/AJCC staging systems for nasopharyngeal carcinoma. It outlines the changes made to the T, N, M categories and clinical stages between the two editions. The 8th edition made minor revisions to the T and N categories such as clarifying anatomical sites and separating N3a and N3b. It also reorganized the clinical stages with some modifications to stage groupings.

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    Uicc Ajcc Npc

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    This document compares the 7th and 8th edition UICC/AJCC staging systems for nasopharyngeal carcinoma. It outlines the changes made to the T, N, M categories and clinical stages between the two editions. The 8th edition made minor revisions to the T and N categories such as clarifying anatomical sites and separating N3a and N3b. It also reorganized the clinical stages with some modifications to stage groupings.

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    10 views2 pages

    7 Edition 8 Edition: TH TH

    Uploaded by

    송란다
    This document compares the 7th and 8th edition UICC/AJCC staging systems for nasopharyngeal carcinoma. It outlines the changes made to the T, N, M categories and clinical stages between the two editions. The 8th edition made minor revisions to the T and N categories such as clarifying anatomical sites and separating N3a and N3b. It also reorganized the clinical stages with some modifications to stage groupings.

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    Classification criteria of the 7th and 8th editions of the UICC/AJCC staging system

    for nasopharyngeal carcinoma

    7th edition 8th edition


    T category
    No tumor identified, but EBV-positive
    T0 cervical node involvement
    Nasopharynx, oropharynx or nasal Nasopharynx, oropharynx, nasal cavity
    T1 cavity without parapharyngeal involvement
    Parapharyngeal space and/or adjacent soft
    Parapharyngeal extension tissue involvement (medial pterygoid,
    T2
    lateral pterygoid, prevertebral muscles)
    Bony structures at skull base, cervical
    Bony structures and/or paranasal
    vertebra, pterygoid structures, and/or
    T3 sinuses
    paranasal sinuses
    Intracranial extension, involvement of
    Intracranial extension and/or cranial
    cranial nerves, hypopharynx, orbit, parotid
    nerves, hypopharynx, orbit or
    gland and/or extensive soft tissue
    T4 infratemporal fossa/masticatory
    infiltration beyond lateral surface of lateral
    space*
    pterygoid
    N category

    None None
    N0
    Unilateral cervical and/or unilateral Unilateral cervical and/or unilateral or
    or bilateral retropharyngeal node(s), bilateral retropharyngeal node(s), ≤ 6 cm
    N1 ≤ 6 cm in greatest dimension, above in greatest dimension, above caudal border
    supraclavicular fossa of cricoid cartilage
    Bilateral cervical node(s), ≤ 6 cm in Bilateral cervical node(s), ≤ 6 cm in
    greatest dimension, above greatest dimension, above caudal border of
    N2
    supraclavicular fossa cricoid cartilage
    N3a > 6 cm in greatest dimension, Unilateral or bilateral cervical node(s), > 6
    above supraclavicular fossa cm in greatest dimension, below caudal
    N3
    N3b in supraclavicular fossa border of cricoid cartilage
    Clinical stage
    I T1N0M0 T1N0M0

    T1N1M0, T2N0-1M0 T1N1M0, T2N0-1M0


    II
    7th edition 8th edition

    T1-2N2M0, T3N0-2M0 T1-2N2M0, T3N0-2M0


    III
    IVA: T4N0-2M0
    T4N0-2M0, T0-4N3M0
    IV IVB: any T1-4N3M0

    a
    infratemporal fossa/masticatory space: the superficial layer of the deep cervical
    fascia splits to enclose the four masticatory muscles, including the medial pterygoid
    (MP), lateral pterygoid (LP), temporalis and masseter muscles, to enclose this space

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