Introduction | Anatomy | Abstracting, Coding, & Staging | Treatment | Hands-on Exercise |
Staging
ICD-O Codes | Morphology & Grade | Extent of Disease Evaluation | Staging | Abstracting Keys | Unit Review |

The TNM staging system parallels the American Urologic System staging.

Prostate Cancer Staging (Abridged Version)

AJCC	Jewett	Definition
T0		No evidence of primary
T1	A	Clinically inapparent
T2	B	Confined to prostate gland
T3	C	Through the capsule
T4		Fixed; adjacent structures
N_, M_	D	Distant metastases

Criteria for TNM Clinical Staging: Physical examination including digital examination, histologic verification of malignancy, imaging, endoscopy, laboratory tests.

Criteria for TNM Pathologic Staging: total removal of the prostate and seminal vesicles as well as pelvic lymph node dissection is required for pathologic staging.

Brief Summaries of 6th Edition Categories

TNM Classification	Histological/Clinical Features
T1	Not palpable or visible
T1a   T1b   T1c	<=5% >5% Diagnosed on needle biopsy only
T2	Confined to prostate
T2a   T2b   T2c	One-half of one lobe or less >one-half of one lobe but not both lobes Both lobes
T3	Through prostatic capsule
T3a   T3b	Extracapsular Seminal vesicles(s)
T4	Fixed or invading adjacent structures: bladder neck, external sphincter, rectum, levator muscles, pelvic wall
N1	Regional lymph node(s)
M1a	Non-regional lymph nodes(s)
M1b	Bone(s)
M1c	Other site(s)

Collaborative Stage Elements

Fore more details on Collaborative Stage, see the CS module.