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 Head & Neck Staging: Table Three   Print Search Glossary Help

TNM Classification Histological/Clinical Features
Larynx (C32.0, C32.1, C32.2, C10.1)
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
Tis carcinoma in situ
Supraglottis  
T1 Limited to one subsite, with normal vocal cord mobility
T2 Invades mucosa of > one adjacent subsite of supraglottis or glottis or region outside the supraglottis; without fixation of larynx
T3 Limited to larynx with vocal cord fixation and/or or invades postcricoid area, pre-epiglottic tissues, paraglottic space, and/or minor thyroid cartilage erosion.
  T4a invades through thyroid cartilage and/or tissues beyond larynx
  T4b invades prevertebral space, encases carotid artery, or invades mediastinal structures
Glottis  
T1 Limited to vocal cord(s), with normal mobility
  T1a limited to one vocal cord
  T1b involves both vocal cords
T2 Extends to supraglottis, and/or subglottis, and/or with impaired cord mobility
T3 Limited to larynx with vocal cord fixationT4 = Invades thru thyroid cartilage and/or other tissues beyond larynx
  T4a invades through thyroid cartilage and/or tissues beyond larynx
  T4b invades prevertebral space, encases carotid artery, or invades mediastinal structures
Subglottis  
T1 Limited to subglottis
T2 Extends to vocal cord(s) with normal/impaired mobility
T3 Limited to larynx with vocal cord fixation
  T4a invades cricoid or thyroid cartilage and/or tissues beyond larynx
  T4b invades prevertebral space, encases carotid artery, or invades mediastinal structures