Mucosal Melanoma Of The Head And Neck Staging Form - 2010

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M
M
H
N
S
F
U C O S A L
E L A N O M A O F T H E
E A D A N D
E C K
T A G I N G
O R M
C
P
LINICAL
ATHOLOGIC
S
C
D
Extent of disease before
T A G E
A T E G O R Y
E F I N I T I O N S
Extent of disease through
any treatment
completion of definitive surgery
L
ATERALITY :
y clinical – staging completed
y pathologic – staging completed
T
S
:
IZE
UMOR
after neoadjuvant therapy but
after neoadjuvant therapy AND
left
right
bilateral
before subsequent surgery
subsequent surgery
P
T
(T)
RIMARY
UMOR
T3
T3
Mucosal disease
T4a
T4a
Moderately advanced disease
Tumor involving deep soft tissue, cartilage, bone, or overlying skin.
T4b
Very advanced disease
T4b
Tumor involving brain, dura, skull base, lower cranial nerves (IX, X, XI, XII),
masticator space, carotid artery, prevertebral space, or mediastinal
structures
R
L
N
(N)
EGIONAL
YMPH
ODES
NX
NX
Regional lymph nodes cannot be assessed
N0
No regional lymph node metastasis
N0
Regional lymph node metastasis present
N1
N1
D
M
(M)
ISTANT
ETASTASIS
M0
No distant metastasis (no pathologic M0; use clinical M to complete stage group)
M1
Distant metastasis
M1
A
S
• P
G
N A T O M I C
T A G E
R O G N O S T I C
R O U P S
C
P
LINICAL
ATHOLOGIC
GROUP
T
N
M
GROUP
T
N
M
III
T3
N0
M0
III
T3
N0
M0
IVA
T4a
N0
M0
IVA
T4a
N0
M0
T3-T4a
N1
M0
T3-T4a
N1
M0
IVB
T4b
Any N
M0
IVB
T4b
Any N
M0
IVC
Any T
Any N
M1
IVC
Any T
Any N
M1
Stage unknown
Stage unknown
PROGNOSTIC FACTORS (SITE-SPECIFIC FACTORS)
General Notes:
For identification of special cases of
:
REQUIRED FOR STAGING
None
TNM or pTNM classifications, the "m"
:
CLINICALLY SIGNIFICANT
suffix and "y," "r," and "a" prefixes are
Size of Lymph Nodes ________________________________________
used. Although they do not affect the
Extracapsular Extension from Lymph Node for Head & Neck _________
stage grouping, they indicate cases
Head & Neck Lymph Nodes Levels I-III __________________________
needing separate analysis.
Head & Neck Lymph Nodes Levels IV-V _________________________
m suffix indicates the presence of
Head & Neck Lymph Nodes Levels VI-VII _______________________
multiple primary tumors in a single
Other Lymph Node Group ____________________________________
site and is recorded in parentheses:
Clinical Location of cervical nodes _____________________________
pT(m)NM.
Extracapsular Spread (ECS) Clinical __________________________
Extracapsular Spread (ECS) Pathologic _________________________
Tumor Thickness ___________________________________________
H
N
/A
P
N
/ I
OSPITAL
AME
DDRESS
ATIENT
AME
NFORMATION
(continued on next page)
9-1
American Joint Committee on Cancer • 2010

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