Pathologicl T
This input is used in derivation
Notes
**Note 1:** High-grade squamous intraepithelial lesions (HSIL) and anal intraepithelial neoplasia (AIN) grade II-III are not normally collected by cancer registries. * AIN II-III or AIN III is reportable to standard-setters (except the Commission on Cancer) * Assign pTis if your registry collects these tumors **Note 2:** Tumor size must be known to assign a value of T1, T2 or T3. You may use a physician’s statement of the T category if this is the only information in the medical record. * If the tumor appears to be in the T1, T2 or T3 categories, but no size or category is specified, assign TX. **Note 3:** Assign the appropriate T category (T1, T2, or T3) based on the tumor size for the following descriptions: Invasive tumor confined to mucosa, NOS (including intramucosal, NOS) Invades: Lamina propria Muscularis mucosae Submucosa (superficial invasion) Muscularis propria (internal sphincter) Ischiorectal fat/tissue Perianal skin Perirectal skin Rectal mucosa or submucosa Rectal wall Skeletal muscle(s): Anal sphincter (external) Levator ani Subcutaneous perianal tissue Confined to anus Localized, NOS **Note 4:** Code incidental finding of malignancy in hemorrhoid according to greatest extension of tumor into wall of anus. * Assign T1 for localized, NOS if extension not specified **Note 5:** Assign T4 for contiguous extension from the site of origin. Discontinuous involvement is assigned in M (distant metastasis).NAACCR Item
NAACCR #880| Pathologic T | Pathologic T Display | Description | Registrar Notes |
|---|---|---|---|
| pX | pTX | Primary tumor cannot be assessed | Pathologic classification criteria met, evaluation done: Physician unable to assess T Surgical resection of primary tumor, extension not stated Tumor size (TS) unknown for T categories where TS needed to determine T Physician assigns pTX, no other information available to determine T |
| p0 | pT0 | No evidence of primary tumor | |
| pIS | pTis | Carcinoma in situ Bowen disease High-grade Squamous Intraepithelial Lesion (HSIL) Anal Intraepithelial Neoplasia II-III (AIN II-III) |
Intraepithelial, noninvasive Stated as Tis |
| p1 | pT1 | Tumor 2 cm or less in greatest dimension | Stated as T1 |
| p2 | pT2 | Tumor more than 2 cm but not more than 5 cm in greatest dimension |
Stated as T2 |
| p3 | pT3 | Tumor more than 5 cm in greatest dimension | Stated as T3 |
| p4 | pT4 | Tumor of any size invades adjacent organ(s), e.g., vagina, urethra, bladder |
Adjacent organs: Bladder Broad ligament(s) Cervix uteri Corpus uteri Pelvic peritoneum Perineum Prostate Urethra Vagina Vulva Further contiguous extension Stated as T4 |
| 88 | 88 | Not applicable | Primary site/histology not TNM defined |
| <BLANK> | BLANK | See Registrar Notes | Pathologic classification criteria not met Pathologic classification criteria met, evaluation done: Results not documented in patient record No surgical resection of known primary tumor (not T0) Resection insufficient for site-specific pathologic assessment No surgical resection of primary tumor and there isn’t a positive biopsy of a structure in the highest T category and highest N category Evidence of metastatic disease (pM1), no other workup Only Pathologic Stage Group documented (no T, N, or M information available) |