Carcinoid syndrome staging

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Carcinoid syndrome Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]

Overview

Staging

Definitions of TNM

The American Joint Committee on Cancer (AJCC) has designated staging by TNM classification to define neuroendocrine tumors

Neuroendocrine Tumors: Stomach

Neuroendocrine Tumors: Colon or Rectum

T Primary tumor
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
T1 Tumor invades lamina propria or submucosa and size ≤2 cm
T1a Tumor size <1 cm in greatest dimension
T1b Tumor size 1–2 cm in greatest dimension
T2 Tumor invades muscularis propria or size >2 cm with invasion of lamina propria or submucosa
T3 Tumor invades through the muscularis propria into the subserosa or into nonperitonealized pericolic or perirectal tissues
T4 Tumor invades peritoneum or other organs
For any T, add (m) for multiple tumors
N Regional Lymph Nodes
NX Regional lymph nodes cannot be assessed
N0 No regional lymph node metastasis
N1 Regional lymph node metastasis
M Distant Metastases
M0 No distant metastases
M1 Distant metastasis

References

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