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; Joel Gelman, M.D. [2], Director of the Center for Reconstructive Urology and Associate Clinical Professor in the Department of Urology at the University of California,Irvine
Overview
Penile cancer may be classified into several subtypes based on TNM system and UICC staging system.
Staging
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 |
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 |
References
- ↑ Stages of penile cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/penile/staging/?region=ab Accessed on September, 30 2015
- ↑ Stages of penile cancer. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/penile/staging/?region=ab Accessed on September, 30 2015