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    Cs Karthik
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    This document outlines the TNM classification system for staging nasopharyngeal carcinoma. It describes the criteria for classifying the primary tumor (T) from T1 to T4 based on extent of spread. It also covers classification of regional lymph node involvement (N) from N0 to N3 based on location and size of metastases. Finally, it addresses distant metastasis (M) as M0 for no metastasis or M1 for presence of metastasis, and provides the stage groupings combining T, N, and M classifications.

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    This document outlines the TNM classification system for staging nasopharyngeal carcinoma. It describes the criteria for classifying the primary tumor (T) from T1 to T4 based on extent of spread. It also covers classification of regional lymph node involvement (N) from N0 to N3 based on location and size of metastases. Finally, it addresses distant metastasis (M) as M0 for no metastasis or M1 for presence of metastasis, and provides the stage groupings combining T, N, and M classifications.

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    15 views10 pages

    TNM Classification

    Uploaded by

    Cs Karthik
    This document outlines the TNM classification system for staging nasopharyngeal carcinoma. It describes the criteria for classifying the primary tumor (T) from T1 to T4 based on extent of spread. It also covers classification of regional lymph node involvement (N) from N0 to N3 based on location and size of metastases. Finally, it addresses distant metastasis (M) as M0 for no metastasis or M1 for presence of metastasis, and provides the stage groupings combining T, N, and M classifications.

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    of 10

    TNM CLASSIFICATION OF

    NASOPHARANGEAL
    CARCINOMA

    BY VASU GAUR
    1802001142
    T.N.M. STAGING
    PRIMARY TUMOR

     T1- Tumor is confined to nasopharynx


     T2- extend to oropharynx and/or to nasal cavity
    a) T2a - without parapharyngeal extension
    b) T2b – with parapharyngeal extension
     T3- Invasion of bony structure or paranasal sinus
     T4- Tumor with intracranial extension or involvement of cranial nerve,
    infratemporal fossa, hypopharynx or orbit.
    REGIONAL LYMPH NODE
     Nx – Regional lymph node cannot be assessed
     N0 - No regional lymph node metastasis
     N1 – Unilateral metastasis in lymph node i.e, 6cm or less than 6cm in greatest dimension
    above supraclavicular fossa
     N2 – Bilateral metastasis in lymph node 6cm or less than 6cm in greatest dimension
    above supraclavicular fossa
     N3 – Metastasis in lymph node
    N3a – Greater than 6 cm in dimension
    N3b – In supraclavicular fossa
    DISTANCE METASTASIS
     Mx – Distant metastasis cannot be assessed
     M0 – No distant metastasis
     M1 – Distant metastasis
    Stage Grouping

    Stage IV C Any T Any N M1


    THANK YOU

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