lungcastage


Primary tumour (T):


- TX - malignant cells in bronchial secretions, no other evidence

- Tis - carcinoma in situ

- T0 - none evident

- T1 - <3cm, in lobar or more distal airway

- T2 - >3cm, and >2cm distal to carina or any size if pleural involvement or obstructive pneumonitis extending to hilum but not all the lung

- T3 - involves the chest wall, diaphragm, mediastinal pleura, pericardium or <2cm from, but not at, carina

- T4 - involves the mediastium, heart, great vessels, trachea, oesophagus, vertebral body, carina or a malignant effusion is present


Regional nodes (N):


- N0 - none involved (after mediastinoscopy)

- N1 - peribronchial and/or ipsilateral hilum

- N2 - ipsilateral mediastinum or subcarinal

- N3 - contralateral mediastinum or hilum, scalene or supraclavicular


Distant metastases (M):


- M0 - none

- M1 - distant metastases present


Stage

Tumour Lymph nodes Metastases
Occult TX N0 M0
I Tis, T1 or T2 N0 M0
II T1 or T2 N1 M0
IIIa T3 N0 or N1 M0
T1-T3 N2 M0
IIIb T1-T3 N3 M0
T4 N0-N3 M0
IV T1-T4 N0-N3 M1