Melanoma Of The Skin Staging Form - 2010

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M
S
S
F
E L A N O M A O F T H E
K I N
T A G I N G
O R M
C
P
LINICAL
ATHOLOGIC
S
C
D
Extent of disease before
Extent of disease through
T A G E
A T E G O R Y
E F I N I T I O N S
any treatment
completion of definitive surgery
L
ATERALITY:
y clinical– staging completed
y pathologic – staging completed
midline
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
Primary tumor cannot be assessed
TX
TX
No evidence of primary tumor
T0
T0
Melanoma in situ
Tis
Tis
Melanomas <1.0 mm in thickness
T1
T1
2
without ulceration and mitosis <1/mm
T1a
T1a
2
with ulceration or mitoses > 1/mm
T1b
T1b
Melanomas 1.01 – 2.0 mm
T2
T2
without ulceration
T2a
T2a
with ulceration
T2b
T2b
Melanomas 2.01-4.0 mm
T3
T3
without ulceration
T3a
T3a
with ulceration
T3b
T3b
Melanomas > 4.0 mm
T4
T4
without ulceration
T4a
T4a
with ulceration
T4b
T4b
R
L
N
(N)
EGIONAL
YMPH
ODES
NX
Regional lymph nodes cannot be assessed
NX
No regional lymph node metastasis
N0
N0
1 node
N1
N1
micrometastasis*
N1a
macrometastasis**
N1b
2-3 nodes
N2
micrometastasis*
N2a
macrometastasis**
N2b
in transit met(s)/satellite(s) without metastatic nodes
N2c
N2c
Clinical: ³ 1 node with in transit met(s)/ satellite(s); pathologic: 4 or more metastatic
N3
N3
nodes, or matted nodes, or in transit met(s)/ satellite(s) with metastatic node(s)
*Micrometastases are diagnosed after sentinel lymph node biopsy and completion
lymphadenectomy (if performed).
**Macrometastases are defined as clinically detectable nodal metastases confirmed by
therapeutic lymphadenectomy or when nodal metastasis exhibits gross extracapsular
extension.
D
M
(M)
ISTANT
ETASTASIS
M0
No distant metastasis (no pathologic M0; use clinical M to complete stage group)
M1a
Metastases to skin, subcutaneous tissues, or distant lymph nodes
M1a
M1b
Metastases to lung
M1b
M1c
Metastases to all other visceral sites or distant metastases to any site combined
M1c
with an elevated serum LDH
H
N
/A
P
N
/ I
OSPITAL
AME
DDRESS
ATIENT
AME
NFORMATION
(continued on next page)
31-1
American Joint Committee on Cancer • 2010

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