Carcinoma of the penis staging

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Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Swathi Venkatesan, M.B.B.S.[2]

Overview

Carcinoma of the penis may be classified into several subtypes based on TNM system and UICC staging system.

TNM staging^[1]


TNM	Definition

TX	Primary tumor cannot be assessed
T0	No evidence of primary tumor
Tis	Carcinoma in situ
Ta	Non-invasice verrucous carcinoma
T1a	Tumor invades subepithelial connective tissue, but has no lymphovascular invasion
T1b	Tumor invades subepithelial connective tissue and has spread to the lymphatic channels or blood vessels
T2	Tumor invades the erectile tissue (corpus spongiosum or cavernosum)
T3	Tumor invades the urethra
T4	Tumor invades other adjacent organs
Regional Lymph Nodes
NX	Regional lymph nodes cannot be assessed
N0	Inguinal lymph nodes are not enlarged
N1	One unilateral inguinal lymph node is enlarged
N2	At least 2 inguinal lymph nodes are enlarged
N3	There is a fixed inguinal nodal mass or enlarged pelvic lymph nodes on one or both sides of the body
Distant Metastasis
M0	No distant metastasis
M1	Distant metastasis

UICC staging^[2]


Stage	T	N	M

Stage 0	Tis	N0	M0
Stage 0	Ta	N0	M0
Stage I	T1a	N0	M0
Stage II	T1b	N0	M0
	T2	N0	M0
	T3	N0	M0
Stage IIIA	T1-T3	N1	M0
Stage IIIB	T1-T3	N2	M0
Stage IV	T4	Any N	M0
	Any T	N3	M0
	Any T	Any N	M1