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T       Primary tumour
TX      Primary tumour cannot be assessed
TO      No evidence of primary tumour
Tis     Carcinoma in situ
T1      Tumour 2cm or less in greatest dimension
T2      Tumour >2cm but <4cm
T3      Tumour >4cm in greatest dimension
T4      Tumour invades adjacent structures
N     Regional lymphnodes


NX    Regional lymphnodes cannot be assessed


NO    No regional lymphnode metastasis                     M    Distant metastasis

                                                           MX   Presence of distant
N1    Metastasis in a single epsilateral lymphnode 3cm          metastasis cannot be
      or less in greatest dimension                             assessed
N2       Metastasis in single or multiple ipsilateral or
         bilateral lymphnodes                              MO   No distant metastasis
N2a      •       Metastasis in single ipsilateral
                                                           M1   Distant metastasis
                 lymphnode >3cm but <6cm
         •       Multiple ipsilateral lymphnodes <6cm
         •       Bilateral lymphnodes <6cm

N2b      Metastasis in multiple ipsilateral lymphnodes
         <6cm

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tnm classification of tumours

  • 1. T Primary tumour TX Primary tumour cannot be assessed TO No evidence of primary tumour Tis Carcinoma in situ T1 Tumour 2cm or less in greatest dimension T2 Tumour >2cm but <4cm T3 Tumour >4cm in greatest dimension T4 Tumour invades adjacent structures N Regional lymphnodes NX Regional lymphnodes cannot be assessed NO No regional lymphnode metastasis M Distant metastasis MX Presence of distant N1 Metastasis in a single epsilateral lymphnode 3cm metastasis cannot be or less in greatest dimension assessed N2 Metastasis in single or multiple ipsilateral or bilateral lymphnodes MO No distant metastasis N2a • Metastasis in single ipsilateral M1 Distant metastasis lymphnode >3cm but <6cm • Multiple ipsilateral lymphnodes <6cm • Bilateral lymphnodes <6cm N2b Metastasis in multiple ipsilateral lymphnodes <6cm