Pancoast tumor classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

The staging of the pancoast tumor is based on the TNM system. Pancoast tumors staging starts at T3  always, as there is an invasion of the chest wall. Invasion of the vertebral body or the subclavian vessels is regarded as T4.

Classification

Stage T N M
IIB T3 N0 M0
IIIA T3 N1-2 M0
IIIB T4 Any N M0
IIIB Any T N3 M0
IV Any T Any N M1
TNM-8th Edition
T T1 Tumor size ≤3cm in greatest dimension
T2
T3
T4
N N0 No regional lymph node metastasis
N1 Nodes are ipsilateral nodes within the lung up to hilar nodes.
N2 Nodes represent ipsilateral mediastinal or subcarinal lymphadenopathy.
N3 Nodes represent contralateral mediastinal or contralateral hilar lymphadenopathy or any scalene or supraclavicular nodes.
M M0 No distant metastasis
M1 Distant metastasis

References

  1. Naruke T (1993). "Significance of lymph node metastases in lung cancer". Semin. Thorac. Cardiovasc. Surg. 5 (3): 210–8. PMID 8353149.
  2. Kraut MJ, Vallières E, Thomas CR (2003). "Pancoast (superior sulcus) neoplasms". Curr Probl Cancer. 27 (2): 81–104. PMID 12717414.
  3. Mountain CF (1986). "A new international staging system for lung cancer". Chest. 89 (4 Suppl): 225S–233S. PMID 3514171.

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