Σταδιοποίηση σε Ca Ρινικής Κοιλότητας & Παραρίνιων Κόλπων
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Ca Ρινικής κοιλότητας & Παραρίνιων κόλπων |
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AJCC Stages/Prognostic Groups |
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Stage |
T |
N |
M |
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0 |
Tis |
N0 |
M0 |
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I |
T1 |
N0 |
M0 |
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II |
T2 |
N0 |
M0 |
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III |
T3 |
N0 |
M0 |
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T1 |
N1 |
M0 |
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T2 |
N1 |
M0 |
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T3 |
N1 |
M0 |
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IVA |
T4a |
N0 |
M0 |
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T4a |
N1 |
M0 |
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T1 |
N2 |
M0 |
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T2 |
N2 |
M0 |
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T3 |
N2 |
M0 |
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T4a |
N2 |
M0 |
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IVB |
T4b |
Any N |
M0 |
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Any T |
N3 |
M0 |
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IVC |
Any T |
Any N |
M1 |
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(T) Primary Tumor |
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TX |
Primary tumor cannot be assessed |
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T0 |
No evidence of primary tumor |
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Tis |
Carcinoma in situ |
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Ιγμόρειο |
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T1 |
Tumor limited to maxillary sinus mucosa with no erosion or destruction of bone |
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T2 |
Tumor causing bone erosion or destruction including extension into the hard palate &/or the middle nasal meatus, except extension to posterior wall of maxillary sinus and pterygoid plates |
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T3 |
Tumor invades any of the following: Bone of the posterior wall of maxillary sinus, subcutaneous tissues, floor or medial wall of orbit, pterygoid fossa, ethmoid sinuses |
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T4a |
Moderately advanced local disease: Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses |
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T4b |
Very advanced local disease: Tumor invades any of the following: Orbital apex, dura, brain, middle crania fossa, cranial nerves other than maxillary division of trigeminal nerve (V2), nasopharynx, or clivus |
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Ρινική κοιλότητα & Ηθμοειδείς |
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T1 |
Tumor restricted to any 1 subsite, with or without bony invasion |
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T2 |
Tumor invading 2 subsites in a single region or extending to involve an adjacent region within the nasoethmoidal complex, with or without bony invasion |
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T3 |
Tumor extends to invade the medial wall or floor of the orbit, maxillary sinus, palate, or cribriform plate |
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T4a |
Moderately advanced local disease: Tumor invades any of the following: Anterior orbital contents, skin of nose or cheek, minimal extension to anterior cranial fossa, pterygoid plates, sphenoid or frontal sinuses |
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T4b |
Very advanced local disease: Tumor invades any of the following: Orbital apex, dura, brain, middle cranial fossa, cranial nerves other than (V2), nasopharynx, or clivus |
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(N) Regional Lymph Nodes |
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NX |
Regional lymph nodes cannot be assessed |
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N0 |
No regional lymph node metastasis* |
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N1 |
Metastasis in a single ipsilateral lymph node, ≤ 3 cm in greatest dimension |
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N2 |
Metastasis in a single ipsilateral lymph node, > 3 cm but ≤ 6 cm in greatest dimension, or in multiple ipsilateral lymph nodes, none > 6 cm in greatest dimension, or in bilateral or contralateral lymph nodes, none > 6 cm in greatest dimension |
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N2a |
Metastasis in a single ipsilateral lymph node > 3 cm but ≤ 6 cm in greatest dimension |
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N2b |
Metastasis in multiple ipsilateral lymph nodes, none > 6 cm in greatest dimension |
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N2c |
Metastasis in bilateral or contralateral lymph nodes, none > 6 cm in greatest dimension |
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N3 |
Metastasis in a lymph node > 6 cm in greatest dimension |
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(M) Distant Metastasis |
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M0 |
No distant metastasis |
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M1 |
Distant metastasis |
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(G) Histologic Grade |
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GX |
Grade cannot be assessed |
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G1 |
Well differentiated |
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G2 |
Moderately differentiated |
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G3 |
Poorly differentiated |
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G4 |
Undifferentiated |
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Χαρακτηριστικά Επέκτασης |
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Sinonasal carcinoma
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Esthesioneuroblastoma
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Κατηγοριοποίηση (Ιστολογικοί Τύποι) |
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Primary malignant tumors (WHO classification)
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Kadish Staging System for Esthesioneuroblastoma |
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Group A |
Tumor localized to nasal cavity |
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Group B |
Tumor localized to nasal cavity and sinuses |
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Group C |
Tumor extends beyond nasal cavity and sinuses to skull base, anterior cranial fossa, orbit, or neck nodes, with or without distant metastases |
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